Active NPI
Nolan Jay Griffin, A.T.C
- Athletic Trainer
- Indian River, MI
National Provider Identifier
1043440381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 3412 S Straits Hwy
Indian River, MI 49749-5137 - Phone
- (231) 238-4090
- Fax
- (231) 333-3122
- NPI assigned
- Jul 21, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | MI | Primary |
Addresses
Primary practice location
3412 S Straits Hwy
Indian River, MI 49749-5137
Mailing address
3412 S Straits Hwy
P.O. Box 829
Indian River, MI 49749-5137
Phone (231) 238-4090
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248134400000",
"number": "1043440381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3412 S STRAITS HWY",
"address_2": "P.O. BOX 829",
"city": "INDIAN RIVER",
"state": "MI",
"postal_code": "497495137",
"telephone_number": "231-238-4090",
"fax_number": "231-333-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3412 S STRAITS HWY",
"city": "INDIAN RIVER",
"state": "MI",
"postal_code": "497495137",
"telephone_number": "231-238-4090",
"fax_number": "231-333-3122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "NOLAN",
"middle_name": "JAY",
"name_prefix": "Mr.",
"credential": "A.T.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-21",
"last_updated": "2009-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indian River, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.