Active NPI
Sharon E Griffin, PHD
- Nutritionist
- Albuquerque, NM
National Provider Identifier
1013357235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- LN-0568
- Practice address
- 1240 Pennsylvania St NE
Suite C
Albuquerque, NM 87110-7441 - Phone
- (505) 254-3535
- NPI assigned
- Jul 2, 2013
- Last updated
- Jul 2, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | LN-0568 | NM | Primary |
Addresses
Primary practice location
1240 Pennsylvania St NE
Suite C
Albuquerque, NM 87110-7441
Mailing address
1240 Pennsylvania St NE
Suite C
Albuquerque, NM 87110-7441
Phone (505) 254-3535
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LN-0568 | NM | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372723200000",
"number": "1013357235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 PENNSYLVANIA ST NE",
"address_2": "SUITE C",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871107441",
"telephone_number": "505-254-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 PENNSYLVANIA ST NE",
"address_2": "SUITE C",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871107441",
"telephone_number": "505-254-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "SHARON",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-02",
"last_updated": "2013-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NM",
"license": "LN-0568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.