Individual provider Active NPI

Danielle Griffin, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Fayetteville, AR
National Provider Identifier
1427792548
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
221353 Issued in AR
Practice address
1955 W Truckers Dr
Fayetteville, AR 72704-5637
Phone
(479) 973-6000
NPI assigned
Apr 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R099582 AR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 221353 AR Primary

Addresses

Primary practice location

1955 W Truckers Dr
Fayetteville, AR 72704-5637

Mailing address

1955 W Truckers Dr
Fayetteville, AR 72704-5637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20221018000759 AR Practitioner - Nurse Practitioner 8022484997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reding and Leach MD PLLCGroup PAC ID 7012258627, 62 clinicians

Practice addresses (Care Compare)

11501 Huron LN
Suite 5
Little Rock, AR 72211-2491
Phone (501) 904-4762

3395 Hwy 5 N
Suite 300
Bryant, AR 72019-9031
Phone (501) 508-2600

706 S Walton Blvd
Suite 2
Bentonville, AR 72712-5789
Phone (479) 715-8002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R099582ARMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Reding & Leach MD PLLC CurrentSince Oct 1, 2024 Accepting new patients
Uhs of Springwoods LLC CurrentSince Aug 26, 2022 Accepting new patients

Locations

706 S Walton Blvd
Ste 2
Bentonville, AR 72712
Phone (417) 691-6969

3395 Highway 5 N
Ste 300
Bryant, AR 72019
Phone (501) 508-2600

1955 W Truckers Dr
Fayetteville, AR 72704
Phone (479) 973-6000

11501 Huron Ln
Ste 5
Little Rock, AR 72211
Phone (501) 904-4762

Interoperability endpoints

  • Direct secure messaging: danielle.griffin.1@21565.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1427792548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 W TRUCKERS DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 W TRUCKERS DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045637",
            "telephone_number": "479-973-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "DANIELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R099582",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "221353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.