Individual provider Active NPI

Natasha Griffith, FNP-C

  • Nurse Practitioner
  • Shawnee, KS
National Provider Identifier
1619668845
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2023024822 Issued in MO
Practice address
12118 W 55TH St
Shawnee, KS 66216-1305
Phone
(913) 717-8064
NPI assigned
May 18, 2023
Last updated
May 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2023024822 MO Primary
Family Medicine Physician 207Q00000X 53-82196-062 KS

Addresses

Primary practice location

12118 W 55TH St
Shawnee, KS 66216-1305

Mailing address

26136 US Highway 59
Fairfax, MO 64446-9105
Phone (660) 686-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240617002332 KS Practitioner - Nurse Practitioner 5799228938 Reassigns benefits to 1 organization
I20240916003837 MO Practitioner - Nurse Practitioner 5799228938 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of Mo LLCGroup PAC ID 1951766559, 85 clinicians
Emergency Medicine Services of KS PAGroup PAC ID 4385009695, 34 clinicians

Practice addresses (Care Compare)

2100 SE Blue Pkwy
Lee's Summit Medical Center
Lee's Summit, MO 64063-1007
Phone (816) 282-5000

5721 W 119TH St
Menorah Medical Center
Overland Park, KS 66209-3722
Phone (913) 498-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-82196-062KSMDFamily Medicine Physician
2023024822MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of Mo, LLC CurrentSince Aug 1, 2024 Accepting new patients
Emergency Medicine Services of KS, PA CurrentSince Jul 11, 2024 Accepting new patients
Community Hospital Association Current Accepting new patients

Locations

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

26136 US Highway 59
Fairfax, MO 64446
Phone (660) 686-2211

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1619668845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26136 US HIGHWAY 59",
            "city": "FAIRFAX",
            "state": "MO",
            "postal_code": "644469105",
            "telephone_number": "660-686-2211",
            "fax_number": "660-686-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12118 W 55TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662161305",
            "telephone_number": "913-717-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "NATASHA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2023024822",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "53-82196-062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

Verify at the official NPI Registry.