Individual provider Active NPI

Courtenay Winfield McKinley-Griffin, RN

  • Psychiatric/Mental Health Registered Nurse
  • Vineyard Haven, MA
National Provider Identifier
1477963692
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN241804 Issued in MA
Practice address
111 Edgartown Rd
Vineyard Haven, MA 02568-5699
Phone
(508) 693-7900
Fax
(508) 696-0601
NPI assigned
Apr 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN241804 MA Primary

Addresses

Primary practice location

111 Edgartown Rd
Vineyard Haven, MA 02568-5699

Mailing address

111 Edgartown Rd
Vineyard Haven, MA 02568-5699
Phone (508) 693-7900

Other identifiers 1

IdentifierTypeStateIssuer
1659387074OtherMAMARTHA'S VINEYARD COMMUNITY SERVICES

Other names 1

  • Courtenay McKinley-Griffin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN241804MAMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1477963692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 EDGARTOWN RD",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025685699",
            "telephone_number": "508-693-7900",
            "fax_number": "508-696-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 EDGARTOWN RD",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025685699",
            "telephone_number": "508-693-7900",
            "fax_number": "508-696-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINLEY-GRIFFIN",
        "first_name": "COURTENAY",
        "middle_name": "WINFIELD",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN241804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARTHA'S VINEYARD COMMUNITY SERVICES",
            "identifier": "1659387074",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTENAY",
            "last_name": "MCKINLEY-GRIFFIN",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Vineyard Haven, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.