Active NPI
Mary Griffin, RD, CDN
- Registered Dietitian
- Elmira, NY
National Provider Identifier
1003377292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 100 Washington St BLDG 1
Elmira, NY 14901-2849 - Phone
- (607) 737-4940
- Fax
- (607) 737-4956
- NPI assigned
- Mar 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
100 Washington St BLDG 1
Elmira, NY 14901-2849
Mailing address
100 Washington St BLDG 1
Elmira, NY 14901-2849
Phone (607) 737-4940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nys Office of Mental Health | Current | Accepting new patients | |
| Nys Office of Mental Health | Single Specialty | Current | Accepting new patients |
| Nys Office of Mental Health | Single Specialty | Current | Accepting new patients |
Locations
100 Washington St
Elmira, NY 14901
Phone (607) 737-4700
100 Washington St
Bldg 1
Elmira, NY 14901
Phone (607) 737-4934
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Elmira, NY
- NPI 1194882316
-
- Adult Mental Health Clinic/Center
- West Brentwood, NY
- NPI 1578627485
Single Specialty
-
- Adult Mental Health Clinic/Center
- Rochester, NY
- NPI 1730243643
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553817600000",
"number": "1003377292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WASHINGTON ST BLDG 1",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149012849",
"telephone_number": "607-737-4940",
"fax_number": "607-737-4956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WASHINGTON ST BLDG 1",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149012849",
"telephone_number": "607-737-4940",
"fax_number": "607-737-4956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "MARY",
"credential": "RD, CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-29",
"last_updated": "2019-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.