Individual provider Active NPI

Iris Lakeith Golden Griffith

  • Case Management Registered Nurse
  • Mabelvale, AR
National Provider Identifier
1578093035
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
R070895 Issued in AR
Practice address
8305 Oxford Valley Dr
Mabelvale, AR 72103-2332
Phone
(501) 350-9315
NPI assigned
Jun 18, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X R070895 AR Primary

Addresses

Primary practice location

8305 Oxford Valley Dr
Mabelvale, AR 72103-2332

Mailing address

8305 Oxford Valley Dr
Mabelvale, AR 72103-2332
Phone (501) 350-9315

Other names 1

  • Mrs. Iris Lockheart Former 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

State licenses

LicenseStateTypeSpecialty
R070895ARMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578093035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 OXFORD VALLEY DR",
            "city": "MABELVALE",
            "state": "AR",
            "postal_code": "721032332",
            "telephone_number": "501-350-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 OXFORD VALLEY DR",
            "city": "MABELVALE",
            "state": "AR",
            "postal_code": "721032332",
            "telephone_number": "501-350-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN GRIFFITH",
        "first_name": "IRIS",
        "middle_name": "LAKEITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "AR",
            "license": "R070895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRIS",
            "last_name": "LOCKHEART",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mabelvale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.