Individual provider Active NPI

Jamie Lynn Griffith, NP-C

  • Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1083968838
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2012027236 Issued in MO
Practice address
522 N New Ballas Rd
Suite 203
Saint Louis, MO 63141-6857
Phone
(314) 569-3323
Fax
(314) 569-3358
NPI assigned
Nov 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2012027236 MO Primary

Addresses

Primary practice location

522 N New Ballas Rd
Suite 203
Saint Louis, MO 63141-6857

Mailing address

522 N New Ballas Rd
Suite 203
Saint Louis, MO 63141-6857
Phone (314) 569-3323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20130726000222 MO Practitioner - Nurse Practitioner 2567603004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jason B. Amato, MD Dermatology, LLCGroup PAC ID 7214189687, 4 clinicians

Practice addresses (Care Compare)

522 N New Ballas Rd
Suite 203
Saint Louis, MO 63141-6819
Phone (314) 569-3323

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012027236MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jason B. Amato, MD Dermatology, LLC CurrentSince Jun 2, 2014 Accepting new patients

Locations

522 N New Ballas Rd
Ste 203
Saint Louis, MO 63141
Phone (314) 569-3323

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/hHhBZnqD5ZnFB3frpd36dudKBHu6EKvB/

Organizations & group practices 1

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": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1083968838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N NEW BALLAS RD",
            "address_2": "SUITE 203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416857",
            "telephone_number": "314-569-3323",
            "fax_number": "314-569-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N NEW BALLAS RD",
            "address_2": "SUITE 203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416857",
            "telephone_number": "314-569-3323",
            "fax_number": "314-569-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-01",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2012027236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.