Active NPI
Susan Griffin, ARNP
- Obstetrics & Gynecology Nurse Practitioner
- Crestview, FL
National Provider Identifier
1619990215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- RN1182012
- Practice address
- 131 E Redstone Ave
Suite 109
Crestview, FL 32539-5326 - Phone
- (850) 683-1100
- Fax
- (850) 683-0599
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | RN1182012 | FL | Primary |
Addresses
Primary practice location
131 E Redstone Ave
Suite 109
Crestview, FL 32539-5326
Mailing address
131 E Redstone Ave
Suite 109
Crestview, FL 32539-5326
Phone (850) 683-1100
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1182012 | FL | MD | Obstetrics & Gynecology Nurse Practitioner |
Interoperability endpoints
- susan.griffin.1@20418.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288656000000",
"number": "1619990215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 E REDSTONE AVE",
"address_2": "SUITE 109",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325395326",
"telephone_number": "850-683-1100",
"fax_number": "850-689-0599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 E REDSTONE AVE",
"address_2": "SUITE 109",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325395326",
"telephone_number": "850-683-1100",
"fax_number": "850-683-0599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2010-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "FL",
"license": "RN1182012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.