Individual provider Active NPI

Emily Anne Griffin, NP-C

  • Family Nurse Practitioner
  • Reston, VA
National Provider Identifier
1043728272
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024175877 Issued in VA
Practice address
1860 Town Center Dr Ste 260
Reston, VA 20190-5899
Phone
(703) 662-3359
NPI assigned
Jan 23, 2018
Last updated
Aug 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001231538 VA
Family Nurse Practitioner 363LF0000X 0024175877 VA Primary

Addresses

Primary practice location

1860 Town Center Dr Ste 260
Reston, VA 20190-5899

Mailing address

417 Albin Dr
Stephens City, VA 22655-5947
Phone (804) 824-4289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20240819002583 VA Practitioner - Nurse Practitioner 9032657275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Regional Enterprises, IncGroup PAC ID 0446164495, 53 clinicians

Practice addresses (Care Compare)

607 E Jubal Early Dr
Winchester, VA 22601-5178
Phone (540) 536-2232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001231538VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Regional Enterprises, Inc CurrentSince May 22, 2024 Accepting new patients
Orchard Family Medicine, PC PastSince Sep 1, 2019 Accepting new patients

Locations

160 Merchant St
#200
Winchester, VA 22603
Phone (540) 536-5950

220 Campus Blvd
Ste 320
Winchester, VA 22601

607 E Jubal Early Dr
Winchester, VA 22601
Phone (540) 536-2232

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEBCDD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1043728272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 ALBIN DR",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226555947",
            "telephone_number": "804-824-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR STE 260",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905899",
            "telephone_number": "703-662-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "EMILY",
        "middle_name": "ANNE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001231538",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.