Annamaria Griffith, DNP, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209023756 Issued in IL

Practice address

1405 N Green Mount Rd Ste 240
O Fallon, IL 62269-3494

Phone

(618) 632-9000

NPI assigned

Aug 31, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1023786456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 TYLER DR",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622942855",
            "telephone_number": "618-974-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 N GREEN MOUNT RD STE 240",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622693494",
            "telephone_number": "618-632-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1036 Town and Country Crossing Dr",
            "address_purpose": "LOCATION",
            "city": "Town and Country",
            "state": "MO",
            "postal_code": "630170610",
            "country_code": "US",
            "telephone_number": "314-833-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "ANNAMARIA",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021031070",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209023756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristinna Green
• Wesley C Green, MD
• Avis B Gregory
• Richard Greiff, DDS
• Sydney Griffin, M.S. CF-SLP
• Bridget Grissom, PT
• Jenna Grissom
• Joel Groves
• Bryan F Guignon, DPM
• Kort Guillette

• Family Nurse Practitioner in O Fallon, IL
• Providers in O Fallon, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.