Katie-Lynn Griffin

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

305098 Issued in TX

Practice address

6033 Jade Ave
Port Arthur, TX 77640-1132

Phone

(409) 718-8077

NPI assigned

Mar 30, 2021

Reactivated

Sep 23, 2021

Last updated

Sep 24, 2021By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1164000360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6033 JADE AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776401132",
            "telephone_number": "409-718-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6033 JADE AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776401132",
            "telephone_number": "409-718-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "KATIE-LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "deactivation_date": "2021-09-01",
        "reactivation_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "305098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Triangle Living Centers, Inc. (Griffin Living Center)
• Golden Triangle Radiation Oncology PLLC
• Mikaela Gonzales
• Casey Granger, NP
• Obiageli Nkiru Greene
• Rae Lynn Guerrero, AU.D.
• Chloe Guidry
• Penni L Guidry, CRNA
• Trace Stephen Guidry, PTA
• Rashee Guillory

• Licensed Vocational Nurse in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.