Angel Marie Griffin

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3105 Lakeshore Drive Suite a-101
Anchorage, AK 99517

Phone

(907) 302-9164

Fax

(907) 677-7017

NPI assigned

Dec 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Angel McKinley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Method Works LLC

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1386199339
  NPD (past)

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1043725047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241224",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99524",
            "telephone_number": "907-302-9164",
            "fax_number": "907-677-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 LAKESHORE DRIVE SUITE A-101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99517",
            "telephone_number": "907-302-9164",
            "fax_number": "907-677-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "ANGEL",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGEL",
            "last_name": "MCKINLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Haiden Reeder Grey, RN, MSN, CPNP
• Wyatt Paul Griepp
• Stephanie Elaine Griese Williams, M.D.
• Helen Eve Griese-Bravo
• Alvin Lavon Griffin
• Carol Griffin
• Jesse R Griffin
• Kelli Griffin
• Renee D Griffin
• Staci Griffin

• Behavior Technician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Behavior Technician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.