Individual provider Active NPI

Sara Elizabeth Grigg, APRN FNP-BC

  • Family Nurse Practitioner
  • Green Forest, AR
National Provider Identifier
1073270633
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
217610 Issued in AR
Practice address
1001 E Main St
Green Forest, AR 72638-2808
Phone
(708) 204-7591
Fax
(833) 629-0828
NPI assigned
Nov 18, 2021
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 217610 AR Primary

Addresses

Primary practice location

1001 E Main St
Green Forest, AR 72638-2808

Mailing address

1001 E Main St
Green Forest, AR 72638-2808
Phone (870) 204-7591

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220119001102 AR Practitioner - Nurse Practitioner 0547652869 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Regional Medical System CurrentSince Jan 17, 2022 Accepting new patients
Washington Regional Medical System CurrentSince Jan 17, 2022 Accepting new patients

Locations

146 Passion Play Rd
Ste A
Eureka Springs, AR 72632
Phone (479) 253-2463

114 E Sunbridge Dr
Fayetteville, AR 72703
Phone (479) 463-2597

Interoperability endpoints

  • Direct secure messaging: sara.grigg.1@14940.direct.athenahealth.com
  • Direct secure messaging: saragrigg@wrms.allscriptsdirect.net

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": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1073270633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E MAIN ST",
            "city": "GREEN FOREST",
            "state": "AR",
            "postal_code": "726382808",
            "telephone_number": "870-204-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E MAIN ST",
            "city": "GREEN FOREST",
            "state": "AR",
            "postal_code": "726382808",
            "telephone_number": "708-204-7591",
            "fax_number": "833-629-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGG",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "217610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Forest, AR

Sources for this page

Verify at the official NPI Registry.