Lori Ann Graber, M.O.T O.T.R.

Primary specialty

SpecialistTaxonomy code 174400000X

License

795 Issued in ID

Practice address

1130 Allumbaugh St
Boise, ID 83704-8700

Phone

(208) 854-8517

Fax

(208) 854-8689

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104032101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6495",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837076495",
            "telephone_number": "208-854-8517",
            "fax_number": "208-854-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 ALLUMBAUGH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048700",
            "telephone_number": "208-854-8517",
            "fax_number": "208-854-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABER",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "M.O.T O.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": "795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makenna Lyn Goutermout, RD, LD
• Amy Louella Gowans
• Annie Goyer
• Danna Hanks Graber, PHARMD
• James Graber, PHARMD
• Grace at Englefield Green LLC
• Grace at State Street LLC
• Grace Counseling, Inc
• Grace Memory Care at State Street LLC
• Charles Scott Grace, D.D.S

• Specialist in Boise, ID
• Providers in Boise, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.