MRS. KATHLEEN WETHERELL GRIFFIN (NPI# 1548307259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548307259 |
Entity Type | Individual |
Full Name | MRS. KATHLEEN WETHERELL GRIFFIN |
Credential | PNP |
Practice Address |
Medical Center Blvd Winston Salem NC 27157-0001 |
Mailing Address |
Po Box 344 Winston Salem NC 27102-0344 |
Practice Telephone | 3367162255 |
Practice Fax Number | 3367169016 |
Mailing Telephone | 3367162255 |
Mailing Fax Number | 3367169016 |
Enumeration Date | 2007-01-31 |
Last Update Date | 2010-11-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 5004721 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
5004721 | NC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 7000836 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699148049 | Kathleen Griffin | Registered Nurse | 114 Katherine St, Hanford, CA 93230-2939 | 2015-11-06 |
1538115845 | Kathleen Anna Griffin | Obstetrics & Gynecology | 33 W Mission St, Suite 204, Santa Barbara, CA 93101-2455 | 2006-05-26 |
1831180751 | Kathleen Naomi Griffin | Psychologist | 309 W Walnut St, Kalamazoo, MI 49007-5176 | 2005-10-31 |
1689159725 | Kathleen Griffin | Psychologist | 32961 Middlebelt Rd, Farmington Hills, MI 48334-1773 | 2018-09-25 |
1588158000 | Kathleen Griffin | Counselor | 2625 Butterfield Rd Ste 138s, Oak Brook, IL 60523-1244 | 2018-06-18 |
1477068625 | Kathleen Griffin | Psychologist | 9 N Edwin C Moses Blvd, Dayton, OH 45402-8470 | 2017-12-11 |
1568732295 | Kathleen Joyce Griffin | Nurse Practitioner | 5901 E 7th St, Long Beach, CA 90822 | 2012-01-11 |
1861799934 | Kathleen M Griffin | Case Manager/Care Coordinator | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2011-02-24 |
1679797534 | Kathleen Griffin | Counselor | 2038 N Bartlett Ave, Milwaukee, WI 53202-1059 | 2007-04-12 |
1881718476 | Kathleen M Griffin | Counselor | 250 25th Ave N, Suite 315, Nashville, TN 37203-1632 | 2007-03-19 |
Street Address |
MEDICAL CENTER BLVD |
City | WINSTON SALEM |
State | NC |
Zip Code | 27157-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811990815 | Gary Lee Ray | Registered Nurse | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-05-23 |
1881295418 | Alan Townes Grizzard | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-11-02 |
1003421751 | Nicholas Ryan Tuttle | Nurse Anesthetist, Certified Registered | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-09-10 |
1356956122 | Caitlin Marie Clement | Nurse Anesthetist, Certified Registered | Medical Center Blvd, Winston Salem, NC 27103 | 2020-09-09 |
1376154591 | Lori Sansone Flores | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-08-11 |
1821609330 | Hannah Carey Walker | Physician Assistant | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-08-10 |
1447876883 | Raveena Mahesh Chhabria | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-06-22 |
1780205930 | Jason Chin | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-1087 | 2020-04-29 |
1972122885 | Bryanna Dean Vesely | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-04-10 |
1679102909 | Ameen Barghi | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-2803 | 2020-04-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255960241 | Alexandra Marie Balmaceda | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 | 2020-04-02 |
1164916680 | Jorie Elizabeth Gatts | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 | 2018-06-18 |
1932606555 | Alexi Rae Ellington Webb | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-04-10 |
1851896674 | Wasim Muhammad | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-03-25 |
1336643535 | Phillip Martin Kostelic | Student in an Organized Health Care Education/Training Program | Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 | 2018-03-21 |
1831693324 | Aleah Bond | Student in an Organized Health Care Education/Training Program | Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 | 2018-03-20 |
1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
1023467529 | Edward John Doyle IIi | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 | 2016-06-07 |
1477917888 | Jordan Mae Burner | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 | 2016-04-12 |
1174900476 | Kate Elise Winterbottom | Speech-Language Pathologist | 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 | 2015-05-06 |
Find all providers in zip 27157 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427544931 | Sheila L Mason | Nurse Practitioner | Wfbmc 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2018-07-09 |
1790197853 | Kristen Anne Baker | Nurse Practitioner | Department of Pediatrics Gastroenterology, Wfbmc, Medical Center Blvd., Winston Salem, NC 27157-0001 | 2014-05-23 |
1043633167 | Mary Suzanne Cramer | Nurse Practitioner | Baptist Wake Forest Medical Ctr, Medical Center Blvd, Winston Salem, NC 27157-1089 | 2014-01-24 |
1841852787 | Sara Elizabeth Absher Nagpal | Nurse Practitioner | 2808 Maplewood Ave, Winston Salem, NC 27103-4138 | 2019-07-01 |
1730749870 | Sarah Baker | Nurse Practitioner | 4555 Ogburn Ave, Winston Salem, NC 27105-2726 | 2019-06-20 |
1215453543 | Brittany Henderson | Nurse Practitioner | 1647 Ne Ashley School Cir, Winston Salem, NC 27105-5444 | 2017-08-18 |
1336689900 | Leigh Carbutt | Nurse Practitioner | 1351 Westgate Center Dr, Winston Salem, NC 27103-2934 | 2017-03-02 |
1972988145 | Lara Arredondo | Nurse Practitioner | Medical Center Blvd, Brenner's Ent, Winston Salem, NC 27157-0001 | 2015-07-29 |
1245635184 | Molly Beal Toda | Nurse Practitioner | 2808 Maplewood Ave, Winston Salem, NC 27103-4138 | 2014-11-04 |
1962825315 | Jean Ann Trull | Nurse Practitioner | Wake Forest Baptist Health, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2014-01-21 |
Find all providers in WINSTON SALEM |
City | WINSTON SALEM |
Zip Code | 27157 |
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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.