Organization Active NPI

Griffith Family Health and Convenient Care Center

  • Nurse Practitioner
  • Orange, TX
National Provider Identifier
1508049271
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
GRIFFITH FAMILY HEALTH AND CONVENIENT CARE CENTER
Practice address
3838 West Park Avenue
Orange, TX 77630-1812
Phone
(409) 886-8700
NPI assigned
Dec 17, 2007
Last updated
Jul 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Mrs. Melana Carol Griffith, MSN, FNP-CNPI 1407871676
Title
Owner/Provider
Phone
(409) 886-8700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 640987 TX
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

3838 West Park Avenue
Orange, TX 77630-1812

Mailing address

3838 West Park Avenue
Orange, TX 77630-1812
Phone (409) 886-8700

Other identifiers 2

IdentifierTypeStateIssuer
1457702540OtherTXINDIVIDUAL NPI
1407871676OtherTXINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080130000501 TX Part B Supplier - Clinic/Group Practice 4688756513 Receives reassigned benefits from 2 practitioners
Practice locations: Orange, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1078071Griffith Family Health3838 West Park Avenue, Orange, TX 77630Certificate of waiverDec 27, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1508049271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 WEST PARK AVENUE",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776301812",
            "telephone_number": "409-886-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 WEST PARK AVENUE",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776301812",
            "telephone_number": "409-886-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIFFITH FAMILY HEALTH AND CONVENIENT CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "MELANA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "409-886-8700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "640987",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1457702540",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1407871676",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.