Active NPI
Celia E. Graham, RD
- Registered Dietitian
- Orlando, FL
National Provider Identifier
1497198964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND6158
- Practice address
- 1911 N Mills Ave
Orlando, FL 32803-1407 - Phone
- (407) 893-8200
- Fax
- (407) 893-8220
- NPI assigned
- Apr 15, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND6158 | FL | Primary |
Addresses
Primary practice location
1911 N Mills Ave
Orlando, FL 32803-1407
Mailing address
1911 N Mills Ave
Orlando, FL 32803-1407
Phone (407) 893-8200
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND6158 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365984000000",
"number": "1497198964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 N MILLS AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031407",
"telephone_number": "407-893-8200",
"fax_number": "407-893-8220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 N MILLS AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031407",
"telephone_number": "407-893-8200",
"fax_number": "407-893-8220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "CELIA",
"middle_name": "E.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-15",
"last_updated": "2013-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND6158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.