Individual provider Active NPI

Nikky Graham, RDN,LD

  • Registered Dietitian
  • Warren, OH
National Provider Identifier
1083762116
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
00810361 Issued in OH
Practice address
930 Fairway Dr NE
Warren, OH 44483-5640
Phone
(330) 207-4328
NPI assigned
Jan 8, 2007
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 00810361 OH Primary

Addresses

Primary practice location

930 Fairway Dr NE
Warren, OH 44483-5640

Mailing address

2985 Palisades Dr
Youngstown, OH 44514-2475
Phone (330) 207-4328

Other practice location 1

1800 Phoenix Blvd
Atlanta, GA 30349-5593
Phone (844) 359-8363

Other practice location 2

1204 Main St Ste 576
Branford, CT 06405-3787
Phone (844) 359-8363

Other practice location 3

1150 Niles Cortland Rd
Niles, OH 44446-3510
Phone (330) 544-8009

Other practice location 4

584 Castro St # 2095
San Francisco, CA 94114-2512
Phone (844) 359-8363

Other practice location 5

1001 Fischer Blvd Ste 3
Toms River, NJ 08753-3818
Phone (844) 359-8363

Other practice location 6

3065 Brighton 2nd St # 1014
Brooklyn, NY 11235-7404
Phone (844) 359-8363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3973OHMDChiropractor
00810361OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Flyte Medical of California PC Past Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Past Accepting new patients
Cloud Health Medical Group of California, P.C. Past Accepting new patients
Family Medical Clinic, Inc Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1083762116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2985 PALISADES DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445142475",
            "telephone_number": "330-207-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 FAIRWAY DR NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444835640",
            "telephone_number": "330-207-4328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Phoenix Blvd",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303495593",
            "country_code": "US",
            "telephone_number": "844-359-8363",
            "fax_number": "833-929-3520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1204 Main St Ste 576",
            "address_purpose": "LOCATION",
            "city": "Branford",
            "state": "CT",
            "postal_code": "064053787",
            "country_code": "US",
            "telephone_number": "844-359-8363",
            "fax_number": "833-929-3520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 Niles Cortland Rd",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "OH",
            "postal_code": "444463510",
            "country_code": "US",
            "telephone_number": "330-544-8009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "584 Castro St # 2095",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941142512",
            "country_code": "US",
            "telephone_number": "844-359-8363",
            "fax_number": "833-955-3592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Fischer Blvd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087533818",
            "country_code": "US",
            "telephone_number": "844-359-8363",
            "fax_number": "833-929-3520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3065 Brighton 2nd St # 1014",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112357404",
            "country_code": "US",
            "telephone_number": "844-359-8363",
            "fax_number": "833-955-3592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "NIKKY",
        "name_prefix": "Mrs.",
        "credential": "RDN,LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "00810361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.