Kelly Fitzgibbons Graham

Primary specialty

MidwifeTaxonomy code 176B00000X

License

15010001

Practice address

1230 Hollyridge TRL
Maitland, FL 32751-3671

Phone

(407) 545-0296

NPI assigned

Nov 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

{
    "created_epoch": "1605312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605312000000",
    "number": "1720680689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 HOLLYRIDGE TRL",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327513671",
            "telephone_number": "407-545-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 HOLLYRIDGE TRL",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327513671",
            "telephone_number": "407-545-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "KELLY",
        "middle_name": "FITZGIBBONS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-14",
        "last_updated": "2020-11-14",
        "certification_date": "2020-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": "15010001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah R Goodwin, MA, LMHC, NCC
• Isabella Elise Gordon
• Nicole Ann Gorospe
• Joanne Celestin Grace, NP
• Gracious Counseling and Consulting
• Steve Graham
• Laura Shea Grant, APRN
• Frank Grasso Jr., MS
• Greater Vision Staffing Agency, LLC
• David E Green, PMD

• Midwife in Maitland, FL
• Providers in Maitland, FL by specialty
• Midwife in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2020; 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.