Lara E Griffy, ANP
Individual provider Active NPI Nurse Practitioner · El Paso, TX
NPI 1134434053 · NPPES record last updated May 3, 2016
Key facts
- NPI
- 1134434053
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 745884 (TX)
- Practice address
- 12371 Edgemere Blvd
Suite 207
El Paso, TX 79938-4877 - Phone
- (915) 856-0008
- Fax
- (915) 856-0022
- NPI assigned
- Aug 16, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 745884 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texan Urgent Care PLLC | Current |
Accepting new patients |
Locations
12371 Edgemere Blvd
Ste 207
El Paso, TX 79938
Phone (915) 856-0008
9100 Viscount Blvd
El Paso, TX 79925
Phone (915) 594-4475
12371 Edgemere Blvd
#207209
El Paso, TX 79938
Phone (915) 856-0008
Interoperability endpoints
- lara.griffy.1@12587.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 745884 | TX | Yes |
Addresses
Primary practice location
12371 Edgemere Blvd
Suite 207
El Paso, TX 79938-4877
Mailing address
13737 Noel Rd
Dallas, TX 75240-1331
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.