Individual provider Active NPI

Mariya Griffin

  • Family Nurse Practitioner
  • Bullhead City, AZ
National Provider Identifier
1316170681
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
320687 Issued in AZ
Practice address
1570 Paseo Grande Apt 3006
Bullhead City, AZ 86442-8532
Phone
(508) 397-8795
NPI assigned
Sep 2, 2009
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 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 320687 AZ Primary

Addresses

Primary practice location

1570 Paseo Grande Apt 3006
Bullhead City, AZ 86442-8532

Mailing address

1570 Paseo Grande Apt 3006
Bullhead City, AZ 86442-8532
Phone (508) 397-8795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250509001686 AZ Practitioner - Nurse Practitioner 2466979760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Laser Center PC a Professional Medical CorporationGroup PAC ID 9537181185, 81 clinicians

Practice addresses (Care Compare)

2580 Hway
95 Suite 224
Bullhead City, AZ 86442-7332
Phone (928) 514-2231

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
320687AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Laser Center, PC, a Professional Medical Corporation CurrentSince Mar 11, 2025 Accepting new patients

Locations

2580 Highway 95
Ste 224
Bullhead City, AZ 86442
Phone (928) 704-7011

6145 W Chandler Blvd
Ste 2
Chandler, AZ 85226
Phone (480) 454-8744

1330 N Rim Dr
Ste A
Flagstaff, AZ 86001
Phone (888) 993-3761

1840 Mesquite Ave
Lk Havasu Cty, AZ 86403
Phone (928) 719-8400

20414 N 27th Ave
Ste 215
Phoenix, AZ 85027
Phone (623) 289-3210

13613 W Camino del Sol
Ste 1
Sun City West, AZ 85375
Phone (480) 757-9854

Interoperability endpoints

  • Direct secure messaging: mgriffin@lalasercenter.emadirect.md

Organizations & group practices 1

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": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1316170681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 PASEO GRANDE APT 3006",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428532",
            "telephone_number": "508-397-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 PASEO GRANDE APT 3006",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428532",
            "telephone_number": "508-397-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "MARIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "320687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

Verify at the official NPI Registry.