Goldyn Graham

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

24681 Northwestern Hwy Ste 2007
Southfield, MI 48075-2305

Phone

(248) 991-4152

NPI assigned

May 13, 2022

Last updated

May 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Family Care of America LLC

  • Respite Care
  • Southfield, MI
  • NPI 1467105015
  NPD

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1124765953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24681 NORTHWESTERN HWY STE 2007",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752305",
            "telephone_number": "248-991-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24681 NORTHWESTERN HWY STE 2007",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752305",
            "telephone_number": "248-991-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "GOLDYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gracious Outreach Ministries
• Carlos Grady, MA, LLP
• Makensie Grady
• Sherri Lynn Graf, DO
• Fatrenna Graham
• Jessica Graham
• Rebecca Rae Graham, CRNA
• Troi Graham
• Alison K. Granados, MD
• Sabrina Grandberry

• Community Health Worker in Southfield, MI
• Providers in Southfield, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.