Individual provider Active NPI

Valerie Victoria Frazier-Griffin, CFNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1063498707
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
01599 Issued in TN
Practice address
6116 Quince Rd
Memphis, TN 38119-7254
Phone
(901) 765-4898
NPI assigned
Dec 15, 2005
Last updated
Jun 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R793654 MS
Family Nurse Practitioner 363LF0000X 01599 TN Primary

Addresses

Primary practice location

6116 Quince Rd
Memphis, TN 38119-7254

Mailing address

6116 Quince Rd
Memphis, TN 38119-7254
Phone (901) 765-4898

Other identifiers 1

IdentifierTypeStateIssuer
0114773MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20041104000354 MS Practitioner - Nurse Practitioner 6204899917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tunica County Healthcare AuthorityGroup PAC ID 6608898499, shared by 2 NPIs, 8 clinicians

Practice addresses (Care Compare)

11273 US Hwy 61 N
Tunica, MS 38664-9705
Phone 66236332241612

1813 Hwy 61 N
Tunica, MS 38676-9683
Phone (662) 357-0012

1813 US Hwy 61 N
Tunica, MS 38676-9683
Phone (662) 357-0012

P O Box
Tunica, MS 38676-9683

PO Box
Tunica, MS 38676

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15990TNMDGynecology Physician
01599TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tunica County Healthcare Authority Current Accepting new patients
Tunica County Healthcare Authority CurrentSince Oct 31, 2020 Accepting new patients
Tunica County Healthcare Authority CurrentSince Oct 31, 2020 Accepting new patients
United Emergency Services, Inc. Nurse Practitioner Past Accepting new patients
Bethany Medical Clinic, LLC Family Past Accepting new patients

Locations

11273 Highway 61 N
Robinsonville, MS 38664
Phone (662) 357-0012

1813 Highway 61 N
Tunica, MS 38676
Phone (662) 357-0012

Organizations & group practices 5

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1063498707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 QUINCE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381197254",
            "telephone_number": "901-765-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 QUINCE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381197254",
            "telephone_number": "901-765-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER-GRIFFIN",
        "first_name": "VALERIE",
        "middle_name": "VICTORIA",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R793654",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "01599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0114773",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.