Individual provider Active NPI

Lauri Graham, M.S., R.D., D.C.

  • Chiropractor
  • Gainesville, FL
National Provider Identifier
1508039645
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8587 Issued in FL
Practice address
5270 NW 34TH St
Gainesville, FL 32605-1154
Phone
(352) 377-2255
Fax
(352) 377-5233
NPI assigned
Apr 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8587 FL Primary

Addresses

Primary practice location

5270 NW 34TH St
Gainesville, FL 32605-1154

Mailing address

5270 NW 34TH Blvd
Gainesville, FL 32605-1154
Phone (352) 377-2255

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1508039645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5270 NW 34TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051154",
            "telephone_number": "352-377-2255",
            "fax_number": "352-377-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 NW 34TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326051154",
            "telephone_number": "352-377-2255",
            "fax_number": "352-377-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "LAURI",
        "name_prefix": "Dr.",
        "credential": "M.S., R.D., D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.