MRS. POLLY RAE GRAHAM (MBA, RD, LD) – Registered Dietitian, NPI 1760698674

MRS. POLLY RAE GRAHAM (MBA, RD, LD) is a healthcare provider. based in Blue grass, Iowa. specializing in Registered Dietitian. They hold the professional credentials MBA, RD, LD. They hold a License No. 00732 (IA). The NPI Number for MRS. POLLY RAE GRAHAM (MBA, RD, LD) is 1760698674

Main info

Female
Name
MRS. POLLY RAE GRAHAM (MBA, RD, LD)
NPI
1760698674
Phone
(563) 381-4113
Address
6395 115TH ST
Enumeration Date
15 May 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. POLLY RAE GRAHAM (MBA, RD, LD)

  • 6395 115TH ST

    BLUE GRASS, IA 527269609

    Phone: (563) 381-4113

    Fax: (563) 421-1714

    Type: Mailing

  • Genesis Medical Center, 1227, East Rusholme Street, Davenport, Scott County, Iowa, 52803, United States

    DAVENPORT, IA 528032459

    Phone: (563) 421-6943

    Fax: (563) 421-6959

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52726)

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Reviews

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Frequently asked questions

Does MRS. POLLY RAE GRAHAM (MBA, RD, LD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. POLLY RAE GRAHAM (MBA, RD, LD) uses 1760698674.
Is MRS. POLLY RAE GRAHAM (MBA, RD, LD) listed as active for patients and plans?
The listing shows MRS. POLLY RAE GRAHAM (MBA, RD, LD) as active in the NPI system.
What taxonomy line describes MRS. POLLY RAE GRAHAM (MBA, RD, LD)?
For research purposes, treat MRS. POLLY RAE GRAHAM (MBA, RD, LD) as Registered Dietitian in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. POLLY RAE GRAHAM (MBA, RD, LD)?
MRS. POLLY RAE GRAHAM (MBA, RD, LD)'s geographic hint is Blue Grass, Iowa in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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