Kathryn Graham, OMT

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1 Nottingham Cir
Clayton, CA 94517-1119

Phone

(925) 408-8289

NPI assigned

Jul 11, 2025

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 11, 2025.

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1699666305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NOTTINGHAM CIR",
            "city": "CLAYTON",
            "state": "CA",
            "postal_code": "945171119",
            "telephone_number": "925-408-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NOTTINGHAM CIR",
            "city": "CLAYTON",
            "state": "CA",
            "postal_code": "945171119",
            "telephone_number": "925-408-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "KATHRYN",
        "credential": "OMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "30285",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Allen Foppiano, SUDRC
• Mellissa Fortune, CADC-II
• Joseph J. Gardner, LCSW
• Randell F Gardner, D.D.S.
• Matthew John Godwin, SUDRC
• Keaton Michael Guigneaux, SUDRC
• Angelo Gutierrez, LVN
• James W Hall
• Denise Haverty
• Jesus Sosa Hernandez, COUNSELOR

• All providers in Clayton, CA
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.