Individual provider Active NPI

Diane Graham, APRN

  • Family Nurse Practitioner
  • Milford, CT
National Provider Identifier
1760021539
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8667 Issued in CT
Practice address
1622 Boston Post Rd
Milford, CT 06460-2776
Phone
(475) 209-9130
Fax
(203) 298-4380
NPI assigned
Dec 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 8667 CT
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 8667 CT Primary

Addresses

Primary practice location

1622 Boston Post Rd
Milford, CT 06460-2776

Mailing address

44 Frank St
Branford, CT 06405-4645

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Diane.Graham@xdr.hhchealthdirect.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200213002499 CT Practitioner - Nurse Practitioner 4183050909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HHC Physician Services PLLCGroup PAC ID 9537573357, 140 clinicians
Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians

Practice addresses (Care Compare)

1622 Boston Post Rd
Milford, CT 06460-2776
Phone (475) 209-9130

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681

250 Indian River Rd
Suite 300
Orange, CT 06477-3627
Phone (203) 738-7700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8667CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HHC Physician Services, PLLC Multi-Specialty CurrentSince Jan 24, 2022 Accepting new patients
HHC Physician Services, PLLC Multi-Specialty CurrentSince Jan 24, 2022 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Multi-Specialty CurrentSince Feb 17, 2020 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Multi-Specialty CurrentSince Feb 17, 2020 Accepting new patients

Locations

322 E Main St
Ste 1B
Branford, CT 06405
Phone (203) 488-7228

1000 Asylum Ave
Hartford, CT 06105
Phone (860) 714-4532

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

1622 Boston Post Rd
Milford, CT 06460
Phone (475) 209-9130

1453 Whalley Ave
New Haven, CT 06515
Phone (203) 389-4111

118 Clinton Ave
New Haven, CT 06513
Phone (203) 562-7222

477 Boston Post Rd
Orange, CT 06477
Phone (203) 878-8332

250 Indian River Rd
Ste 300
Orange, CT 06477
Phone (203) 738-7700

Interoperability endpoints

  • Direct secure messaging: diane.graham@xdr.hhchealthdirect.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1760021539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 FRANK ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 BOSTON POST RD",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064602776",
            "telephone_number": "475-209-9130",
            "fax_number": "203-298-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "DIANE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "8667",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Diane.Graham@xdr.hhchealthdirect.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1622 Boston Post Rd",
            "city": "Milford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064602776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.