Jaclyn Shardey Griggs-McLeod, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

960205 Issued in TX

Practice address

4699 Fossil Vista Dr Apt 6109
Haltom City, TX 76137-6215

Phone

(817) 789-5857

NPI assigned

Jan 31, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1083178305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4699 FOSSIL VISTA DR APT 6109",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761376215",
            "telephone_number": "817-789-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4699 FOSSIL VISTA DR APT 6109",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761376215",
            "telephone_number": "817-789-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGGS-MCLEOD",
        "first_name": "JACLYN",
        "middle_name": "SHARDEY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "960205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmeen Goyal, D.D.S.
• Grace Quality Grouphome LLC
• Louis Graham, FNP, ENP
• Lacey Grant
• Jennifer Griffith
• Haltom City Chiropractic Clinic, Inc.
• Haltom Dental, P.a.
• Haltom Pain and Injury
• Keith Dwight Harbour, D.O.
• Mohammed Hassan

• Registered Nurse in Haltom City, TX
• Providers in Haltom City, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.