AUTUMN JOY GRIFFIN (NPI# 1740588995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740588995 |
| Entity Type | Individual |
| Full Name | AUTUMN JOY GRIFFIN |
| Practice Address |
12911 120th Ave Ne # 10 Kirkland WA 98034-3027 |
| Mailing Address |
7255 115th Pl Se Newcastle WA 98056-4302 |
| Practice Telephone | 4258219833 |
| Practice Fax Number | 4258219443 |
| Mailing Telephone | 6033392934 |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2013-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE60303059 | WA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811361157 | Autumn Lee Griffin | Licensed Practical Nurse | 832 Mckinley Ave Nw, Canton, OH 44703-2463 | 2015-11-24 |
| 1649568551 | Autumn G Griffin | Nurse Anesthetist, Certified Registered | 705 Dixie St, Carrollton, GA 30117-3818 | 2011-07-12 |
| 1689865057 | Autumn Dawn Griffin | Occupational Therapist | 307 E 3rd Ave, Cordele, GA 31015-3208 | 2007-08-09 |
| Street Address |
12911 120TH AVE NE # 10 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306338249 | Cheiryl Pactanac | Dentist | 11800 Ne 128th St Ste 520, Kirkland, WA 98034-7296 | 2018-06-06 |
| 1952815540 | Mariam Tariri | Dentist | 12403 106th Pl Ne, Kirkland, WA 98034-2861 | 2017-11-20 |
| 1992220305 | William Madsen | Dentist | 105 Brennan Dr, Kirkland, IL 60146-8550 | 2017-08-07 |
| 1205350618 | Roula Cardaras | Dentist | 13110 Ne 120th Ln Apt D205, Kirkland, WA 98034-9318 | 2017-07-27 |
| 1417409855 | Teresa K Kang Dds | Dentist | 12332 120th Ave Ne, Kirkland, WA 98034-6926 | 2016-11-02 |
| 1184170763 | Kirkland Family Dentistry | Dentist | 1715 Market St #104, Kirkland, WA 98033 | 2016-09-01 |
| 1346796315 | Nazanin Nehchiri | Dentist | 13601 98th Ave Ne, Kirkland, WA 98034-1904 | 2016-08-30 |
| 1386001865 | Katherine M. Mckinney Dds, Ps. | Dentist | 5726 Lake Washington Blvd Ne Ste 2, Kirkland, WA 98033-7425 | 2016-01-28 |
| 1083044184 | Mina Moazzeni | Dentist | 1505 3rd Pl, Kirkland, WA 98033-5556 | 2013-11-26 |
| 1023455540 | Millennium Dental Clinic | Dentist | 1619 Market St, Kirkland, WA 98033-4963 | 2013-05-23 |
| Find all providers in KIRKLAND | ||||
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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.