KRISTY GRAHAM FNP-BC NPI 1134749898

NPI Information

  • NPI: 1134749898
  • Provider Name: KRISTY GRAHAM, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 23838 PACIFIC COAST HWY UNIT 752
    MALIBU, CA
    ZIP 90265
  • Phone: (805) 975-7007

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NPI Details

Kristy Graham, FNP-BC is a family nurse practitioner in Malibu, CA with 7 years of experience. Kristy Graham, FNP-BC NPI is 1134749898. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

23838 PACIFIC COAST HWY UNIT 752
MALIBU, CA
ZIP 90265-441
Phone: (805) 975-7007

The NPI 1134749898 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/23/2020 and was last updated on 12/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily95014412CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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