Active NPI
Graham Hannon
- Community Health Worker
- Idaho Falls, ID
National Provider Identifier
1598617177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 1908 Jennie Lee Dr
Idaho Falls, ID 83404-6159 - Phone
- (208) 932-7048
- NPI assigned
- Feb 13, 2026
- Last updated
- Feb 13, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | ID | Primary |
Addresses
Primary practice location
1908 Jennie Lee Dr
Idaho Falls, ID 83404-6159
Mailing address
1908 Jennie Lee Dr
Idaho Falls, ID 83404-6159
Phone (208) 932-7048
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1598617177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 JENNIE LEE DR",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046159",
"telephone_number": "208-932-7048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1908 JENNIE LEE DR",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046159",
"telephone_number": "208-932-7048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNON",
"first_name": "GRAHAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-13",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "ID",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
- Hands of Hope Home Health, LLC (Mission Home Health of Idaho Falls)
- Hands of Hope Hospice, LLC
- Catherine Peterson Hanks, COTA/L
- Eli Wallace Hanks, COTA/L
- Kevin Matthew Hanks, D.O.
- Brittany Jean Hansen
- Christopher Darrel Hansen, DDS
- Ivy A. Hansen, P.A.-C.
- Jason Mitchell Hansen, PHARMD
- Jenna Hansen, MOTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.