Individual provider Active NPI

Shari K Griffen, DNP

  • Family Nurse Practitioner
  • Germantown, MD
National Provider Identifier
1215276720
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22783 Issued in CA
Practice address
12420 Milestone Center Dr Ste 200
Germantown, MD 20876-7111
Phone
(336) 509-7515
NPI assigned
Feb 4, 2013
Last updated
Mar 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22783 CA Primary

Addresses

Primary practice location

12420 Milestone Center Dr Ste 200
Germantown, MD 20876-7111

Mailing address

1056 Aspen Rd
Stafford, VA 22554-2593
Phone (336) 509-7515

Other practice location 1

12420 Milestone Center Dr Ste 200
Germantown, MD 20876-7111
Phone (336) 509-7515

Other practice location 2

8400 Sudley Rd
Manassas, VA 20109-3705
Phone (703) 369-8000

Other identifiers 1

IdentifierTypeStateIssuer
NP22783OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170221000891 VA Practitioner - Nurse Practitioner 3072749670 Reassigns benefits to 3 organizations
I20171128003207 DC Practitioner - Nurse Practitioner 3072749670 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22783CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Aug 1, 2023 Accepting new patients
Velocity Urgent Care, LLC CurrentSince Jun 6, 2020 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Jul 2, 2018 Accepting new patients
Virginia Urgent Care LLC CurrentSince Feb 19, 2020 Accepting new patients
Commonwealth Emergency Physicians PC CurrentSince Sep 1, 2017 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jul 2, 2018 Accepting new patients
Blue & Grey Emergency Physicians LLC Past Accepting new patients

Locations

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

4374 New Town Ave
Williamsburg, VA 23188
Phone (757) 772-6124

12581 Milstead Way
Ste 103
Woodbridge, VA 22192
Phone (703) 897-5890

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1215276720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 ASPEN RD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225542593",
            "telephone_number": "336-509-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12420 MILESTONE CENTER DR STE 200",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208767111",
            "telephone_number": "336-509-7515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12420 Milestone Center Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208767111",
            "country_code": "US",
            "telephone_number": "336-509-7515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8400 Sudley Rd",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201093705",
            "country_code": "US",
            "telephone_number": "703-369-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFEN",
        "first_name": "SHARI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "NP22783",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.