Kimberly Griggs

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

222246 Issued in AR

Practice address

602 W Union Ave Ste B
Osceola, AR 72370-3022

Phone

(870) 563-6504

Fax

(870) 563-7482

NPI assigned

Nov 23, 2022

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

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mississippi County Hospital SystemGroup PAC ID 9739230723, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Great River Medical Center Hospital, Blytheville, AR, CCN 040069
• South Mississippi County Regional Medical Center Hospital, Osceola, AR, CCN 040782

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.griggs.1@15274.direct.athenahealth.com
• FHIR API: https://fhir.yourcareuniverse.net/tenant/3da9ca85-20c5-41a0-bdcd-1c72cbc6cce2

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.

• Mississippi County Hospital System

  • Emergency Medicine Physician
  • Blytheville, AR
  • NPI 1164720868

  AR

  Medicare reassignment Care Compare group NPD
• Mississippi County Hospital System

  • Rural Health Clinic/Center
  • Osceola, AR
  • NPI 1073129755
  Care Compare group
• Mississippi County Hospital System

  • General Acute Care Hospital
  • Blytheville, AR
  • NPI 1316180748
  Care Compare group
• Mississippi County Hospital System

  • Anesthesiology Physician
  • Blytheville, AR
  • NPI 1376844878
  Care Compare group
• Mississippi County Hospital System

  • Rural Health Clinic/Center
  • Blytheville, AR
  • NPI 1669089462
  Care Compare group
• Mississippi County Hospital System

  • Rural Health Clinic/Center
  • Blytheville, AR
  • NPI 1124634738
  NPD
• Great River Medical Center

  • General Acute Care Hospital
  • Blytheville, AR
  • NPI 1811068646
  NPD (past)
• Mississippi County Primary Care Physicians

  • Family Nurse Practitioner
  • Osceola, AR
  • NPI 1609246370
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mississippi County Hospital System

  • General Acute Care Hospital
  • Blytheville, AR
  • NPI 1316180748

  Hospital

  Care Compare affiliation
• SMC-Mississippi County Hospital System

  • Rural Acute Care Hospital
  • Osceola, AR
  • NPI 1366685992

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1043929573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 167",
            "city": "OSCEOLA",
            "state": "AR",
            "postal_code": "723703022",
            "telephone_number": "870-563-6504",
            "fax_number": "870-563-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W UNION AVE STE B",
            "city": "OSCEOLA",
            "state": "AR",
            "postal_code": "723703022",
            "telephone_number": "870-563-6504",
            "fax_number": "870-563-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGGS",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "222246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherrie Shanicka Gavin, MHPP
• Nicole Lynn Gordon
• Great River Medical Center LLC
• Keith Darell Gregory, MHPP-CASE MANAGER
• Sarah Griffin
• Samuel G Harlan
• Harmony Health Clinic Wynne, PLLC
• Harmony Health Clinic Wynne, PLLC
• Jeffery F Harris, APRN
• Meredith Annette Harris

• All providers in Osceola, AR
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.