Active NPI
Lurie Shavon Graham
- Prosthetics Case Management
- Cary, NC
National Provider Identifier
1386234342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 6660
- Practice address
- 964 High House Rd
Cary, NC 27513-3574 - Phone
- (919) 561-6970
- NPI assigned
- Jan 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 6660 | NC | Primary |
Addresses
Primary practice location
964 High House Rd
Cary, NC 27513-3574
Mailing address
964 High House Rd
Cary, NC 27513-3574
Phone (919) 561-6970
Other practice location 1
95 Sandollar Ct
Sanford, NC 27332-8914
Phone (336) 460-9590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6660 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611446400000",
"number": "1386234342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "964 HIGH HOUSE RD",
"city": "CARY",
"state": "NC",
"postal_code": "275133574",
"telephone_number": "919-561-6970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "964 HIGH HOUSE RD",
"city": "CARY",
"state": "NC",
"postal_code": "275133574",
"telephone_number": "919-561-6970"
}
],
"practiceLocations": [
{
"address_1": "95 Sandollar Ct",
"address_purpose": "LOCATION",
"city": "Sanford",
"state": "NC",
"postal_code": "273328914",
"country_code": "US",
"telephone_number": "336-460-9590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAHAM",
"first_name": "LURIE",
"middle_name": "SHAVON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-24",
"last_updated": "2021-01-24",
"certification_date": "2021-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist, Prosthetics Case Management",
"state": "NC",
"license": "6660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.