Individual provider Active NPI

Tisha R Griffin, CRNP

  • Family Nurse Practitioner
  • Albertville, AL
National Provider Identifier
1619177516
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1098638 Issued in AL
Practice address
431 N Carlisle St
Albertville, AL 35950-1733
Phone
(256) 251-2566
Fax
(256) 344-8334
NPI assigned
Jul 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1098638 AL Primary

Addresses

Primary practice location

431 N Carlisle St
Albertville, AL 35950-1733

Mailing address

431 N Carlisle St
Albertville, AL 35950-1733
Phone (256) 251-2566

Other practice location 1

2017 Obrig Ave
Guntersville, AL 35976-2156
Phone (256) 582-2324

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
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1098638ALMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1619177516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 N CARLISLE ST",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359501733",
            "telephone_number": "256-251-2566",
            "fax_number": "256-344-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 N CARLISLE ST",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359501733",
            "telephone_number": "256-251-2566",
            "fax_number": "256-344-8334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2017 OBRIG AVE",
            "address_purpose": "LOCATION",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359762156",
            "country_code": "US",
            "telephone_number": "256-582-2324",
            "fax_number": "256-582-2321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "TISHA",
        "middle_name": "R",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1098638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.