Individual provider Active NPI

Diana Marie Griffin

  • Psychiatric/Mental Health Nurse Practitioner
  • College Place, WA
National Provider Identifier
1043807530
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61130697 Issued in WA
Practice address
1242 SE Newgate Dr
College Place, WA 99324-1879
Phone
(509) 593-2878
NPI assigned
Dec 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61130697 WA Primary

Addresses

Primary practice location

1242 SE Newgate Dr
College Place, WA 99324-1879

Mailing address

1242 SE Newgate Dr
College Place, WA 99324-1879
Phone (509) 593-2878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20210715002606 WA Practitioner - Nurse Practitioner 7517366636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2316 Eastgate St
Suite 110
Walla Walla, WA 99362-1576
Phone (509) 593-2878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Mental Health Care, LLC Psychiatric/Mental Health CurrentSince Feb 5, 2021 Accepting new patients

Locations

2316 Eastgate St
Ste 110
Walla Walla, WA 99362
Phone (509) 527-1156

Interoperability endpoints

  • Direct secure messaging: accessmentalhealth.dianagriffin@146975.advancedmd-direct.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1043807530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 SE NEWGATE DR",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241879",
            "telephone_number": "509-593-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 SE NEWGATE DR",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241879",
            "telephone_number": "509-593-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "DIANA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61130697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Place, WA

Sources for this page

Verify at the official NPI Registry.