Individual provider Active NPI

Emily Griffith, FNP

  • Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1083276307
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
202009717NP-PP Issued in OR
Practice address
1115 SE 164TH Ave FL 3
Vancouver, WA 98683-9324
Phone
(360) 729-1000
NPI assigned
Jul 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 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 5012001 NC
Nurse Practitioner 363L00000X 202009717NP-PP OR Primary

Addresses

Primary practice location

1115 SE 164TH Ave FL 3
Vancouver, WA 98683-9324

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20210224002585 OR Practitioner - Nurse Practitioner 3678804176 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peacehealth Medical GroupGroup PAC ID 9032023270, 256 clinicians

Practice addresses (Care Compare)

2846 Willamette St
Eugene, OR 97405-8200
Phone (541) 222-8700

4010 Aerial Way
Eugene, OR 97402-9757
Phone (613) 272-4978

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Current Accepting new patients
Peacehealth Medical Group Cottage Grove CurrentSince Mar 1, 2021 Accepting new patients
Peacehealth Medical Group CurrentSince Mar 1, 2021 Accepting new patients
Oregon Trusted Local Care Clinic Nurse Practitioner Current Accepting new patients
Peacehealth Medical Group CurrentSince Mar 1, 2021 Accepting new patients
Northwest Physician Associates PC Nurse Practitioner CurrentSince Apr 1, 2021 Accepting new patients

Locations

1046 6th Ave SW
Albany, OR 97321
Phone (541) 812-4000

1515 Village Dr
Cottage Grove, OR 97424
Phone (541) 767-5200

180 Melton Rd
Creswell, OR 97426
Phone (541) 222-7700

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

1200 Hilyard St
Ste S110
Eugene, OR 97401
Phone (458) 205-6011

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

Interoperability endpoints

  • Direct secure messaging: egriffith7627@direct.peacehealth.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1083276307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 SE 164TH AVE FL 3",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839324",
            "telephone_number": "360-729-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "EMILY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012001",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "202009717NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.