Randall Gray Griffith, ARNP

Primary specialty

Occupational Health Nurse PractitionerTaxonomy code 363LX0106X

License

AP3005740 Issued in WA

Practice address

1450 5TH St SE Ste 1500
Puyallup, WA 98372-4603

Phone

(888) 280-5513

NPI assigned

Jun 9, 2005

Last updated

Jan 14, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Caresimple Providers PS

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1811376833
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1073517793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 5TH ST SE STE 1500",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724603",
            "telephone_number": "888-280-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 5TH ST SE STE 1500",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724603",
            "telephone_number": "888-280-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "RANDALL",
        "middle_name": "GRAY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30005740",
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "WA",
            "license": "AP3005740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leroy Robert Gregory, D.C.
• Makenzi Marlene Gregory, LMHC
• Lyndi Annamarie Greinke, LMP
• Jeremy Gries
• Kiara Aimee Gries
• Brianna Grimm, LMHCA
• Mary Louise Groda-Lewis, MD
• Stacie Lee Grogan, LMP
• Julie Gronski, OTR/L
• Paul Frank Groschel, PT

• Occupational Health Nurse Practitioner in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Occupational Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.