Lisa Griffis

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L41104 Issued in AR

Practice address

211 Jackson St SW
Camden, AR 71701-3941

Phone

(870) 836-5743

Fax

(870) 836-6924

NPI assigned

Aug 19, 2008

Last updated

Aug 19, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1205083557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N COLLEGE AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304403",
            "telephone_number": "870-862-7921",
            "fax_number": "870-864-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 JACKSON ST SW",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717013941",
            "telephone_number": "870-836-5743",
            "fax_number": "870-836-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIS",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "L41104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akquilla Golatt
• Golden Triangle Services, Inc (Healthware)
• Brittany D Green Haynie, PT, DPT
• Ketrina Green
• Lavon Cherale Green, PROSTHETICSPECIALIST
• Ariel Gunnels
• Susan Hall
• Tiffany D Hall
• Jeanne Beth Hampton, M.A. CCC-SLP
• Gracie Mae Hardy

• Licensed Practical Nurse in Camden, AR
• Providers in Camden, AR by specialty
• Licensed Practical Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.