Janie Donalda Griffin, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

Practice address

2150 NE Division St
Ste 103
Gresham, OR 97030-5813

Phone

(503) 661-4200

Fax

(503) 666-5066

NPI assigned

May 22, 2007

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatric Associates of Gresham PC

  • Pediatrics Physician
  • Gresham, OR
  • NPI 1568592913
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164632048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 NE DIVISION ST",
            "address_2": "STE 103",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305813",
            "telephone_number": "503-661-4200",
            "fax_number": "503-666-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 NE DIVISION ST",
            "address_2": "STE 103",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305813",
            "telephone_number": "503-661-4200",
            "fax_number": "503-666-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "JANIE",
        "middle_name": "DONALDA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209635",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gresham West of Olympus, LLC
• Gresham Women's Health LLC
• Gresham Women's Healthcare, PC
• Timothy William Grieve, CADC II
• Gregory Griffin, LMT
• Susie Griffin, LMT
• Murlan E Grise, DO
• Gretchen Ann Grooms, LMT
• Kathryn Sue Grotheer, OTR/L
• Mue Guay

• Pediatric Nurse Practitioner in Gresham, OR
• Providers in Gresham, OR by specialty
• Pediatric Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.