Tiffany Mari Graham

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

9070 Big Sam CT
Las Vegas, NV 89148-5087

Phone

(808) 387-6364

NPI assigned

Mar 23, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1407387285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 BIG SAM CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485087",
            "telephone_number": "808-387-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 BIG SAM CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485087",
            "telephone_number": "808-387-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "TIFFANY",
        "middle_name": "MARI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann Graham
• Summer Graham
• Tanika Graham
• Tatynisha Graham
• Teyah Graham
• Yoneke Leeandra Graham, CNA
• Kory Grahl, DMD
• Troy Grahl
• Heather Grahlert
• Cynthia Deonne Grainger

• Rehabilitation Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.