MRS. KELLY DENISE GRIFFIN (NPI# 1437541091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437541091 |
| Entity Type | Individual |
| Full Name | MRS. KELLY DENISE GRIFFIN |
| Credential | APRN FNP-C |
| Practice Address |
35945 N. Gary Rd Suite 101 San Tan Valley AZ 85143 |
| Practice Telephone | 4808275750 |
| Mailing Telephone | 4808275750 |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN104391 | AZ | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP7749 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | 03-1815 | 01 | |
| MEDICARE | ZFQ31815 | 01 | |
| AZ | 016759 | 05 | |
| AZ | 912044 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609148972 | Kelly Shenea Griffin | Social Worker | 6508 Wandering Creek Dr, Charlotte, NC 28216-8011 | 2012-02-02 |
| 1174786735 | Kelly A Griffin | Psychologist | 2090 Celebration Dr Ne Ste 212, Grand Rapids, MI 49525-9200 | 2008-07-03 |
| 1841700374 | Kelly A Griffin | Counselor | 5837 Hamilton Ave, Cincinnati, OH 45224-2923 | 2017-10-11 |
| 1609392380 | Kelly Michelle Griffin | Occupational Therapist | 11808 Grant St Fl 100, Omaha, NE 68164-3616 | 2017-08-15 |
| 1659637403 | Kelly Griffin | Family Medicine | 4860 Y St Ste 1600, Sacramento, CA 95817-2307 | 2012-04-05 |
| 1295006963 | Kelly Griffin | Specialist/Technologist | 204 Main Street, Andover, NH 03216 | 2012-01-26 |
| 1548543663 | Kelly S Griffin | Speech-Language Pathologist | 831 Mcdow Dr, Rock Hill, SC 29732-2415 | 2011-09-25 |
| 1760774632 | Kelly Griffin | Marriage & Family Therapist | 117 N B St, Lompoc, CA 93436-6901 | 2011-05-10 |
| 1053637454 | Kelly Michelle Griffin | Speech-Language Pathologist | 817 N Mound St, Nacogdoches, TX 75961-4427 | 2010-04-12 |
| 1225289523 | Kelly Marie Griffin | Internal Medicine | 525 E 68th St, Box 130, New York, NY 10065-4870 | 2008-10-06 |
| Street Address |
35945 N. GARY RD SUITE 101 |
| City | SAN TAN VALLEY |
| State | AZ |
| Zip Code | 85143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619457785 | Shalom Behavioral Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35301 N Belgian Blue Ct, San Tan Valley, AZ 85143 | 2018-08-18 |
| 1336662337 | House of Dignity Assisted Living LLC | Assisted Living Facility | 214 W Danish Red Trl, San Tan Valley, AZ 85143 | 2017-07-21 |
| 1942744081 | Arizona Dental Professionals, PC | Dentist | 545 E Hunt Hwy, San Tan Valley, AZ 85143 | 2016-12-08 |
| 1285000786 | Jared Scott Snyder | Physical Therapy Assistant | 1745 E Hunt Hwy, Suite 103, San Tan Valley, AZ 85143 | 2015-08-19 |
| 1801289236 | Tiffany Battle | Behavioral Analyst | 2626 E. Manuel Road, San Tan Valley, AZ 85143 | 2015-03-10 |
| 1528496031 | Casey Manzanedo | Licensed Practical Nurse | 35900 E Charbray Dr., San Tan Valley, AZ 85143 | 2013-10-18 |
| 1891136461 | Lisa Kay Scarpa | Home Health Aide | 925 E Canyon Rock Rd, San Tan Valley, AZ 85143 | 2013-07-11 |
| 1790969426 | Emilia Elizabeth Gomez Vieytez | Pediatrics | 22707 S. Ellsworth Rd H 101, Queen Creek, AZ 85143 | 2007-12-17 |
| 1205814621 | Janet F Rinehart | Family Medicine | 30046 N Varnum Rd, San Tan Valley, AZ 85143 | 2006-01-05 |
| 1750629952 | Dustin M Germaine | Specialist/Technologist | 1462 E Poncho Ln, San Tan Valley, AZ 85143-3218 | 2013-01-22 |
| Find all providers in zip 85143 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043832264 | Lisa Wakefield | Nurse Practitioner | 1148 W Fruit Tree Ln, San Tan Valley, AZ 85143-3487 | 2020-05-11 |
| 1215569223 | Kimberly Jo Savage | Nurse Practitioner | 4190 E Santa Clara Dr, San Tan Valley, AZ 85140-7936 | 2020-02-07 |
| 1922645191 | Paula Lerma Neiswonger | Nurse Practitioner | 2842 E Inca Ln, San Tan Valley, AZ 85140-1324 | 2019-12-05 |
| 1881240919 | Chad Andersen | Nurse Practitioner | 3658 W Goldmine Mountain Dr, San Tan Valley, AZ 85142-6593 | 2019-08-14 |
| 1417415183 | Marie Ekren | Nurse Practitioner | 678 W Jersey Way, San Tan Valley, AZ 85143-5490 | 2019-03-12 |
| 1619454154 | Romella Icban Watler | Nurse Practitioner | 39259 N Cali Cir, San Tan Valley, AZ 85140-5814 | 2018-07-27 |
| 1669975876 | Lorraine D Fajardo | Nurse Practitioner | 3608 E Desert Moon Trl, San Tan Valley, AZ 85143-3366 | 2018-03-14 |
| 1700399839 | Mark Roy Kent | Nurse Practitioner | 3312 E Desert Moon Trl, San Tan Valley, AZ 85143-3352 | 2017-11-11 |
| 1669838298 | Donna Lynne Hoffman | Nurse Practitioner | 3862 E Pony Track Ln, San Tan Valley, AZ 85140-4950 | 2016-01-12 |
| 1952617201 | Richard Earl Wade | Nurse Practitioner | 1284 E Maddison St, San Tan Valley, AZ 85140-5765 | 2010-08-25 |
| Find all providers in SAN TAN VALLEY | ||||
| City | SAN TAN VALLEY |
| Zip Code | 85143 |
Please comment or provide details below to improve the information on MRS. KELLY DENISE GRIFFIN.
| 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.