Kristy Graham, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95014412 Issued in CA

Practice address

23838 Pacific Coast Hwy Unit 752
Malibu, CA 90265-1441

Phone

(805) 975-7007

NPI assigned

Apr 23, 2020

Last updated

Dec 6, 2024By the provider in NPPES

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

Enrolled in CA, ID2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: kristy.grahamfnpbc.p89@direct.kootenai.nextgenshare.com

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.

• Daphne I Panagotacos MD

  • Dermatopathology Physician
  • Westlake Village, CA
  • NPI 1295999274
  Medicare reassignment NPD
• Los Robles Emergency Physicians Medical Group

  • Emergency Medicine Physician
  • Thousand Oaks, CA
  • NPI 1417983552
  Medicare reassignment NPD
• Mareeni T Stanislaus MD a Medical Corporation

  • Obstetrics & Gynecology Physician
  • Templeton, CA
  • NPI 1922523943
  Medicare reassignment NPD
• Team Physicians of California Medical Group Inc

  • Emergency Medicine Physician
  • Delano, CA
  • NPI 1447288345
  Medicare reassignment NPD
• Coeur D Alene Primary Care PLLC

  • Primary Care Clinic/Center
  • Coeur d'Alene, ID
  • NPI 1922431360
  Medicare reassignment NPD
• Kootenai Urgent Care LLC

  • Family Medicine Physician
  • Coeur d'Alene, ID
  • NPI 1821312356
  Medicare reassignment NPD
• Kootenai Urgent Care LLC

  • Family Medicine Physician
  • Coeur d'Alene, ID
  • NPI 1407172059
  NPD
• Public Health District 1

  dba Panhandle Health District 1/ Diabetes Prevention Program

  • State or Local Public Health Clinic/Center
  • Hayden, ID
  • NPI 1427616846
  NPD
• Public Health District 1

  dba Panhandle Health District

  • Public Health or Welfare Agency
  • Hayden, ID
  • NPI 1841212933
  NPD
• Daphne I Panagotacos MD

  • Specialist
  • Westlake Village, CA
  • NPI 1740378280
  NPD (past)
• Kootenai Health, Inc.

  • Psychiatry Physician
  • Coeur d'Alene, ID
  • NPI 1174661151
  NPD (past)

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1134749898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23838 PACIFIC COAST HWY UNIT 752",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902651441",
            "telephone_number": "805-975-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23838 PACIFIC COAST HWY UNIT 752",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902651441",
            "telephone_number": "805-975-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "KRISTY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garfield Beach CVS LLC (CVS Pharmacy #09697)
• Sarah Francine Garza, ASW
• Rebecca Ann Giles, MD
• Neda Golpanian, PHARMD
• Fred Joel Gould, PHARM.D
• Grasshopper House, LLC (Passages)
• Sage Grazer
• Adam Dov Greenberg, L. AC.
• Lauren M Greenman, PA-C
• Christiana Dorian Grotlisch, LCSW

• Family Nurse Practitioner in Malibu, CA
• Providers in Malibu, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.