Individual provider Active NPI

Lisa Griffin, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Abbeville, LA
National Provider Identifier
1609273002
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP08077 Issued in LA
Practice address
1009 Charity St
Abbeville, LA 70510-5302
Phone
(337) 893-3443
Fax
(337) 893-3439
NPI assigned
Dec 1, 2014
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X TAP003245 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP08077 LA Primary

Addresses

Primary practice location

1009 Charity St
Abbeville, LA 70510-5302

Mailing address

PO Box 93335
Lafayette, LA 70509-3335
Phone (337) 345-5644

Other practice location 1

711 N Pierce St
Lafayette, LA 70501-3529
Phone (337) 371-8597

Other practice location 2

1004 Surrey St
Lafayette, LA 70501-6143
Phone (337) 456-6768

Other practice location 3

806 Jefferson Ter
New Iberia, LA 70560-5727
Phone (337) 365-4945

Other practice location 4

317 Dernier St
Saint Martinville, LA 70582-3809
Phone (337) 342-2566

Other identifiers 1

IdentifierTypeStateIssuer
2382497MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160404001007 LA Practitioner - Nurse Practitioner 1951608157 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP08077LAMDPsychiatric/Mental Health Nurse Practitioner
TAP003245LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Concern for AIDS Relief Education and Support, Inc. CurrentSince Feb 20, 2023 Accepting new patients
Acadiana Concern for AIDS Relief Education and Support, Inc. Past Accepting new patients

Locations

809 Mlk Dr
Lafayette, LA 70501
Phone (337) 233-2437

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1609273002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93335",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705093335",
            "telephone_number": "337-345-5644",
            "fax_number": "337-703-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 CHARITY ST",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705105302",
            "telephone_number": "337-893-3443",
            "fax_number": "337-893-3439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 N Pierce St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705013529",
            "country_code": "US",
            "telephone_number": "337-371-8597",
            "fax_number": "337-643-8407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1004 Surrey St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705016143",
            "country_code": "US",
            "telephone_number": "337-456-6768",
            "fax_number": "337-456-8690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "806 Jefferson Ter",
            "address_purpose": "LOCATION",
            "city": "New Iberia",
            "state": "LA",
            "postal_code": "705605727",
            "country_code": "US",
            "telephone_number": "337-365-4945",
            "fax_number": "337-342-2392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "317 Dernier St",
            "address_purpose": "LOCATION",
            "city": "Saint Martinville",
            "state": "LA",
            "postal_code": "705823809",
            "country_code": "US",
            "telephone_number": "337-342-2566",
            "fax_number": "337-342-2392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "LISA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2023-03-07",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "TAP003245",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP08077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2382497",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbeville, LA

Sources for this page

Verify at the official NPI Registry.