Individual provider Active NPI

Justeen A Griego, CNP

  • Family Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1437637758
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
54134 Issued in NM
Practice address
8300 San Pedro Dr NE Ste C
Albuquerque, NM 87113-1704
Phone
(505) 907-5652
Fax
(505) 212-4021
NPI assigned
Jul 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN-72666 NM
Primary Care Nurse Practitioner 363LP2300X 54134 NM
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 54134 NM Primary

Addresses

Primary practice location

8300 San Pedro Dr NE Ste C
Albuquerque, NM 87113-1704

Mailing address

8300 San Pedro Dr NE Ste C
Albuquerque, NM 87113-1704
Phone (505) 907-5652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20190118000405 NM Practitioner - Nurse Practitioner 9335485986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8300 San Pedro Dr NE
Suite C
Albuquerque, NM 87113-1703
Phone (505) 288-0393

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-72666NMMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC Multi-Specialty CurrentSince Sep 13, 2022 Accepting new patients
Just Rejuvenateen Health Center LLC Multi-Specialty CurrentSince Apr 12, 2023 Accepting new patients
Just Rejuvenateen Multi-Specialty Current Accepting new patients

Locations

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

223 Montano Rd NW
Ste B
Albuquerque, NM 87107

8300 San Pedro Dr NE
Ste C
Albuquerque, NM 87113
Phone (505) 288-0393

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: justeen.griego.1@27912.direct.athenahealth.com

Organizations & group practices 3

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": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1437637758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 SAN PEDRO DR NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131704",
            "telephone_number": "505-907-5652",
            "fax_number": "505-212-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 SAN PEDRO DR NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131704",
            "telephone_number": "505-907-5652",
            "fax_number": "505-212-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIEGO",
        "first_name": "JUSTEEN",
        "middle_name": "A",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NM",
            "license": "RN-72666",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NM",
            "license": "54134",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "54134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.