Myra Jo Griffey, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

041267823 Issued in IL

Practice address

1190 Independence Ave
Elburn, IL 60119-7833

Phone

(630) 643-1959

NPI assigned

Mar 22, 2021

Last updated

Mar 22, 2021By 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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1356927255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4N496 HUNTER CT",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601757920",
            "telephone_number": "630-779-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 INDEPENDENCE AVE",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601197833",
            "telephone_number": "630-643-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFEY",
        "first_name": "MYRA",
        "middle_name": "JO",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IL",
            "license": "041267823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Ilene Faulkner, OTR/L
• David Lin Foss, D.C.
• Kristy Ellen Gibson, M.A., CCC-SLP
• Loren M Gineris, PT
• Gliddons Drug Store Inc
• Kathryn Teresita Groleau, M.S.
• Carolyn Haney
• Kathleen Hannemann
• Meghan Hill, CCC-SLP
• Keith E. Hougas, O.D.

• General Practice Registered Nurse in Elburn, IL
• Providers in Elburn, IL by specialty
• General Practice Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.