NPIMap

Individual provider Active NPI

Jessica A Griffin, NP

  • Nurse Practitioner
  • Winooski, VT
National Provider Identifier
1518328749
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
101.0132807 Issued in VT
Practice address
32 Malletts Bay Ave Ste B
Winooski, VT 05404-1960
Phone
(802) 655-4422
NPI assigned
Mar 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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 RN2306074 MA
Nurse Practitioner 363L00000X 101.0132807 VT Primary

Addresses

Primary practice location

32 Malletts Bay Ave Ste B
Winooski, VT 05404-1960

Mailing address

32 Malletts Bay Ave Ste B
Winooski, VT 05404-1960
Phone (802) 655-4422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180112000062 VT Practitioner - Nurse Practitioner 9335408624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Five-Town Health Alliance, IncGroup PAC ID 9638321342, 10 clinicians

Practice addresses (Care Compare)

61 Pine St
Bristol, VT 05443-1043
Phone (802) 453-6843

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2306074MAMDRegistered Nurse
101.0132807VTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Five-Town Health Alliance, Inc CurrentSince Mar 1, 2025 Accepting new patients
Five-Town Health Alliance, Inc Current Accepting new patients

Locations

61 Pine St
Bristol, VT 05443
Phone (802) 453-3911

61 Pine St
Bldg 4
Bristol, VT 05443
Phone (802) 453-3911

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1518328749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 MALLETTS BAY AVE STE B",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054041960",
            "telephone_number": "802-655-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 MALLETTS BAY AVE STE B",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054041960",
            "telephone_number": "802-655-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2306074",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "101.0132807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winooski, VT

Sources for this page

Verify at the official NPI Registry.