Individual provider Active NPI

Amita Lute Graham, CNM, WHNP

  • Advanced Practice Midwife
  • Davis, CA
National Provider Identifier
1780026336
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
236037 Issued in CA
Practice address
2020 Sutter PL Ste 203
Davis, CA 95616-6217
Phone
(530) 753-3498
Fax
(530) 758-2109
NPI assigned
Jul 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 236037 CA Primary
Women's Health Nurse Practitioner 363LW0102X 95011742 CA
Lactation Consultant (Registered Nurse) 163WL0100X 95100740 CA
Lactation Consultant (Non-RN) 174N00000X 10725971 AZ

Addresses

Primary practice location

2020 Sutter PL Ste 203
Davis, CA 95616-6217

Mailing address

PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0071

Other practice location 1

1580 Valencia St
San Francisco, CA 94110-4423
Phone (415) 600-2229

Other practice location 2

2114 West Grant Road
#27
Tucson, AZ 85745
Phone (520) 401-1151

Other practice location 3

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 309-2506

Other names 1

  • Amita Lute Huckaby Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260331001397 CA Practitioner - Certified Nurse Midwife (CNM) 9234542150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 255228
Sacramento, CA 95865

PO Box
Suite 255228
Sacramento, CA 95865-5228

PO Box
Suite 276950
Sacramento, CA 95827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
95100740CAMDLactation Consultant (Registered Nurse)
10725971AZMDLactation Consultant (Non-RN)
95011742CAMDWomen's Health Nurse Practitioner
236037CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Mendocino Community Health Clinic, Inc. Past Accepting new patients
Tucson Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: agraham17458@elrio.direct.ci.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1780026336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228",
            "telephone_number": "800-470-0071",
            "fax_number": "916-854-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SUTTER PL STE 203",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956166217",
            "telephone_number": "530-753-3498",
            "fax_number": "530-758-2109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1580 Valencia St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941104423",
            "country_code": "US",
            "telephone_number": "415-600-2229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2114 West Grant Road",
            "address_2": "#27",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85745",
            "country_code": "US",
            "telephone_number": "520-401-1151",
            "fax_number": "520-628-4231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "839 W Congress St",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452819",
            "country_code": "US",
            "telephone_number": "520-309-2506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "AMITA",
        "middle_name": "LUTE",
        "credential": "CNM, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "236037",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95011742",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "95100740",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "AZ",
            "license": "10725971",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMITA",
            "last_name": "HUCKABY",
            "middle_name": "LUTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.