Kylee Graham, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R0117125 Issued in OK

Practice address

7600 S Highway 69a
Miami, OK 74354-1016

Phone

(918) 542-1655

Fax

(918) 540-1685

NPI assigned

Aug 28, 2025

Last updated

Aug 28, 2025By 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

Credentials

Registered Nurse

State licenses

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.

• Northeastern Tribal Health System

  • Clinic/Center
  • Miami, OK
  • NPI 1871522532
  NPD
• Northeastern Tribal Health System

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Miami, OK
  • NPI 1639267065
  NPD (past)

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1215816830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1498",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743551498",
            "telephone_number": "918-542-1655",
            "fax_number": "918-540-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 S HIGHWAY 69A",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743541016",
            "telephone_number": "918-542-1655",
            "fax_number": "918-540-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "KYLEE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0117125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Louise Gonzales
• Blake Alexnder Gonzalez
• Eric Goodpaster, TEACHING CERTIFICATE
• Skylar Keaton Gordon
• Leeanna Goza
• Michelle Lynn Graham, ARNP-C
• Grand Lake Mental Health
• Grand Lake Mental Health Center Inc (Grand Lake Medical Health Center)
• Grand Lake Mental Health Center, Inc.
• Grand Lake Mental Health Center, Inc. (GRAND Mental Health)

• Registered Nurse in Miami, OK
• Providers in Miami, OK by specialty
• Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.