Tiffany B Griffis, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

76959 Issued in OK

Practice address

1013 Dewey Ave
Poteau, OK 74953-4409

Phone

(918) 647-2929

Fax

(918) 647-2288

NPI assigned

Mar 1, 2017

Last updated

Apr 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Leflore County Hospital Authority

  dba Mountain Gateway Senior Health

  • Psychiatric Hospital Unit
  • Poteau, OK
  • NPI 1184997447

  Corporate Officer

  CMS ownership
• Leflore County Hospital Authority

  dba Eastern Oklahoma Medical Center

  • Critical Access Hospital
  • Poteau, OK
  • NPI 1396767158

  Corporate Officer

  CMS ownership
• Leflore County Hospital Authority

  dba Cavanal Medical Clinic

  • Family Medicine Physician
  • Poteau, OK
  • NPI 1578026571

  Operational/Managerial Control

  CMS ownership

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.

• Leflore County Hospital Authority

  dba Family Medical Clinic

  • Rural Health Clinic/Center
  • Poteau, OK
  • NPI 1043265895
  Medicare reassignment NPD Authorized official
• Leflore County Hospital Authority

  dba Heavener Medical Clinic

  • Rural Health Clinic/Center
  • Heavener, OK
  • NPI 1558740837
  NPD Authorized official

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1699215228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1148",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749531148",
            "telephone_number": "918-635-3192",
            "fax_number": "918-635-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 DEWEY AVE",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749534409",
            "telephone_number": "918-647-2929",
            "fax_number": "918-647-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIS",
        "first_name": "TIFFANY",
        "middle_name": "B",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "76959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200825590",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Graves
• Christy Gray, PTA
• Jessica Lane Gray
• Gregory Medical Clinic LLC
• Jennifer Griffin, SLPA
• Shelby Groves
• Brandi Grubbs, LPTA
• GTZ and Enk (Clinica de Salud Y Bienestar Hispano)
• Jeanne R Guinn, APRN
• Lindsey A Hackney, PTA

• Family Nurse Practitioner in Poteau, OK
• Providers in Poteau, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.