Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KYSTAL NICOLE JOHNSON-GRAHAM
NPI 1730071010
Nurse Practitioner - Psychiatric/Mental Health in Shelton, CT

Q: What is Kystal Johnson-graham's NPI number?

The NPI number for Kystal Johnson-graham is 1730071010. It was assigned to this individual provider in the NPPES registry on July 19, 2025.

Q: What is Kystal Johnson-graham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since July 19, 2025

26 LARK LN, SHELTON, CT 06484(203) 705-8199 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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About Kystal Nicole Johnson-graham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYSTAL NICOLE JOHNSON-GRAHAM (NPI 1730071010) is an individual psychiatric/mental health provider in Shelton, Connecticut, licensed in Connecticut (18360) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1730071010

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKYSTAL NICOLE JOHNSON-GRAHAM

Location Address26 LARK LNShelton, CT 06484-2621

Mailing Address26 Lark LnShelton, CT 06484-2621 · (203) 705-8199

Phone(203) 705-8199

Sole ProprietorNo

Enumeration DateJuly 19, 2025

Last NPPES UpdateSeptember 24, 2026

NPPES CertifiedSeptember 24, 2026

✔ NPI 1730071010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CT · 18360

26 LARK LN, Shelton, CT 06484

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kystal Johnson-graham's NPI number?

The NPI number for Kystal Johnson-graham is 1730071010. It was assigned to this individual provider in the NPPES registry on July 19, 2025.

Where is Kystal Johnson-graham located?

Kystal Johnson-graham practices at 26 Lark Ln, Shelton, CT 06484. The listed phone number is (203) 705-8199.

What is Kystal Johnson-graham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kystal Johnson-graham was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.