Jeffry Graham

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

2001 S Garnett Rd
Tulsa, OK 74128-1836

Phone

(918) 878-7877

NPI assigned

Nov 24, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1972900603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5723 E 31ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355102",
            "telephone_number": "918-852-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S GARNETT RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741281836",
            "telephone_number": "918-878-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JEFFRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-24",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassi Nicole Graham, BA
• Digi Graham, D.PH.
• Elizabeth Ann Graham, RN
• Grace Catherine Graham
• James B Graham IV
• Kaylee Jae Graham
• Keyana Monique Graham
• Mandie Melissa Graham, ARNP, FNP-C
• Randall K Graham, DDS
• Samantha Erin Graham, LCSW

• Peer Specialist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.