Nichole Griffin

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0131001516 Issued in VA

Practice address

650 N Jefferson St
Roanoke, VA 24016-1427

Phone

(540) 343-3484

NPI assigned

Nov 17, 2015

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": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1407220262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N JEFFERSON ST",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240161427",
            "telephone_number": "540-343-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N JEFFERSON ST",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240161427",
            "telephone_number": "540-343-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "NICHOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131001516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernice Delores Griffin
• Charlyn K Griffin, OTR
• Claryssa Nichole Griffin, RBT
• Elizabeth A Griffin, M.A., CCC-SLP
• Elsie Mae Nicely Griffin, PA
• Peter Griffin, NREMT-B
• Geronetta Griffith, RBT
• Karla Lyn Grimes, PA-C
• Rebekah Grimes, MD
• Hailey Groff, PA-C

• All providers in Roanoke, VA
• Occupational Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.