Active NPI
Katherine P Griffis, ARNP
- Nurse Practitioner
- Gulfport, MS
National Provider Identifier
1487673406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R887779
- Practice address
- 38 Pass Rd Ste a
Gulfport, MS 39507-3107 - Phone
- (228) 865-1330
- Fax
- (228) 865-1331
- NPI assigned
- Jul 19, 2006
- Last updated
- Dec 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP3396982 | FL | |
| Nurse Practitioner | 363L00000X | R887779 | MS | Primary |
Addresses
Primary practice location
38 Pass Rd Ste a
Gulfport, MS 39507-3107
Mailing address
38 Pass Rd Ste a
Gulfport, MS 39507-3107
Phone (228) 865-1330
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y1066 | Other | FL | BLUE CROSS BLUE SHIELD |
| 304688500 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R887779 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hematology & Oncology Center P.a. | Past | Accepting new patients | |
| Tampa Bay Radiation Oncology, PA | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/_equjXi-I6k5_iN9ulQyh3xNMVDgQ7-w/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hematology & Oncology Physician
- Brandon, FL
- NPI 1346375029
-
- Radiation Oncology Physician
- Brandon, FL
- NPI 1376511089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482364800000",
"number": "1487673406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 PASS RD STE A",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395073107",
"telephone_number": "228-865-1330",
"fax_number": "228-865-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 PASS RD STE A",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395073107",
"telephone_number": "228-865-1330",
"fax_number": "228-865-1331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIS",
"first_name": "KATHERINE",
"middle_name": "P",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2016-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP3396982",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "R887779",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y1066",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "304688500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.