Kati Lin Graham, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

446625 Issued in OH

Practice address

1234 Ridgewood Dr Ste C
Bowling Green, OH 43402-2695

Phone

(419) 419-6204

Fax

(419) 419-6201

NPI assigned

May 3, 2018

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

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1265921373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 E GYPSY LANE RD",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434029396",
            "telephone_number": "419-419-6230",
            "fax_number": "419-419-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 RIDGEWOOD DR STE C",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022695",
            "telephone_number": "419-419-6204",
            "fax_number": "419-419-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "KATI",
        "middle_name": "LIN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "446625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Eduardo Gomez Orozco, M.D.
• Leah Marie Gomez, LPC
• Simon Marie Magdelena Gomez
• Stephanie L Good
• Elizabeth Jane Graffin, MHE,RD,LD,CDE
• Kayson Graham
• Victoria Graham, LPC
• Brennin Gray
• Kenzi Green, LMT
• Linda Green, RN

• Registered Nurse in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.