Individual provider Active NPI

Tina M Griffin, DNP, FNP-C

  • Family Nurse Practitioner
  • Gardner, MA
National Provider Identifier
1295722072
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
178441 Issued in MA
Practice address
266 Main St
Gardner, MA 01440-2927
Phone
(978) 630-5030
Fax
(978) 630-5033
NPI assigned
Oct 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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 178441 MA Primary

Addresses

Primary practice location

266 Main St
Gardner, MA 01440-2927

Mailing address

266 Main St
Gardner, MA 01440-2927
Phone (978) 630-5030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050309000791 MA Practitioner - Nurse Practitioner 5092769380 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heywood Medical Group Inc.Group PAC ID 6901882836, 111 clinicians

Practice addresses (Care Compare)

250 Green St
Gardner, MA 01440-1396
Phone (978) 630-6460

266 Main St
Gardner, MA 01440-2927
Phone (978) 630-5030

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
178441MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athol Memorial Hospital Incorporated Family CurrentSince May 1, 2018 Accepting new patients
Henry Heywood Memorial Hospital Family CurrentSince Oct 1, 1999 Accepting new patients
Heywood Medical Group Inc. Family CurrentSince Oct 1, 1999 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Oct 1, 1999 Accepting new patients
Bernard a Westerling III, MD, LLC Past Accepting new patients
Coordinated Primary Care, Inc. Past Accepting new patients
South Shore Hospital Inc. Past Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

250 Green St
Gardner, MA 01440
Phone (978) 630-5050

266 Main St
Ste 1
Gardner, MA 01440

266 Main St
Gardner, MA 01440
Phone (978) 630-5030

Interoperability endpoints

  • Direct secure messaging: tina.griffin.1@192.direct.athenahealth.com

Organizations & group practices 7

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1295722072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 MAIN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014402927",
            "telephone_number": "978-630-5030",
            "fax_number": "978-630-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 MAIN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014402927",
            "telephone_number": "978-630-5030",
            "fax_number": "978-630-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "TINA",
        "middle_name": "M",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "178441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

Verify at the official NPI Registry.