Active NPI
Denisha Graham, BS, IBCLC
- Lactation Consultant (Non-RN)
- Oklahoma City, OK
National Provider Identifier
1578076659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L-127057
- Practice address
- 2701 N Wheeler St
Oklahoma City, OK 73127-1439 - Phone
- (405) 201-2473
- NPI assigned
- Nov 10, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | |||
| Specialist | 174400000X | |||
| Lactation Consultant (Non-RN) | 174N00000X | L-127057 | Primary |
Addresses
Primary practice location
2701 N Wheeler St
Oklahoma City, OK 73127-1439
Mailing address
2701 N Wheeler St
Oklahoma City, OK 73127-1439
Phone (405) 201-2473
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
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510272000000",
"number": "1578076659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 N WHEELER ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731271439",
"telephone_number": "405-201-2473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 N WHEELER ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731271439",
"telephone_number": "405-201-2473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "DENISHA",
"credential": "BS, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-10",
"last_updated": "2017-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": "L-127057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.