Individual provider Active NPI

Carolyn U Graham, ND

  • Naturopath
  • Shelton, CT
National Provider Identifier
1457501330
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
000377 Issued in CT
Practice address
414 Howe Ave
Suite 307
Shelton, CT 06484-3168
Phone
(203) 922-0029
Fax
(203) 922-1082
NPI assigned
Sep 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 000377 CT Primary

Addresses

Primary practice location

414 Howe Ave
Suite 307
Shelton, CT 06484-3168

Mailing address

414 Howe Ave
Suite 307
Shelton, CT 06484-3127
Phone (203) 922-0029

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

LicenseStateTypeSpecialty
000377CTMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1457501330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 HOWE AVE",
            "address_2": "SUITE 307",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064843127",
            "telephone_number": "203-922-0029",
            "fax_number": "203-922-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 HOWE AVE",
            "address_2": "SUITE 307",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064843168",
            "telephone_number": "203-922-0029",
            "fax_number": "203-922-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "CAROLYN",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CT",
            "license": "000377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.