RANDALL GRAY GRIFFITH (NPI# 1073517793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073517793 |
Entity Type | Individual |
Full Name | RANDALL GRAY GRIFFITH |
Credential | ARNP |
Practice Address |
1450 5th St Se Ste 1500 Puyallup WA 98372-4603 |
Practice Telephone | 8882805513 |
Mailing Telephone | 8882805513 |
Enumeration Date | 2005-06-09 |
Last Update Date | 2015-01-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30005740 | WA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LX0106X |
Nurse Practitioner Specialization: Occupational Health |
AP3005740 | WA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215274329 | Randall Griffith | Social Worker | 8550 United Plaza Blvd, Suite 702, Baton Rouge, LA 70809-2256 | 2013-01-09 |
1992827489 | Randall L. Griffith I | Dentist | 153 S Fenway St, Casper, WY 82601-2721 | 2007-04-04 |
Street Address |
1450 5TH ST SE STE 1500 |
City | PUYALLUP |
State | WA |
Zip Code | 98372-4603 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
Find all providers in zip 98372 |
Taxonomy Code | 363LX0106X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Occupational Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144795196 | Performance Occupational Health Services LLC | Nurse Practitioner | 11109 Ne 14th St Ste A, Vancouver, WA 98684-4366 | 2018-10-05 |
1104128545 | Laura Dawn Hahn | Nurse Practitioner | 409 So. 12th Ave, Yakima, WA 98908 | 2010-11-17 |
1821028333 | Diane M Nelson | Nurse Practitioner | 803 Vandercook Way Ste 2, Lower Columbia Occupational Health, Longview, WA 98632-4039 | 2006-07-03 |
1316423833 | Hiedi Sutton | Nurse Practitioner | 1930 Port of Tacoma Rd, Tacoma, WA 98421-3707 | 2018-07-17 |
1518456847 | North End Medical Professional Corporation | Nurse Practitioner | 1186 S Burlington Blvd, Burlington, WA 98233-3314 | 2018-05-02 |
1417246067 | Christopher W. Benner | Nurse Practitioner | 1029 N Kellogg St, Kennewick, WA 99336-7661 | 2011-04-05 |
1295851707 | Jody R. Underwood | Nurse Practitioner | 246 N Mission St, Wenatchee, WA 98801-2004 | 2007-03-22 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.