Julie Lynn Griffin, ATC, AT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601001698 Issued in MI

Practice address

Portage Northern High School
1000 Idaho Ave
Portage, MI 49024

Phone

(269) 323-5400

NPI assigned

Mar 20, 2018

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1699279240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 DOVER HILLS DR APT 205",
            "address_2": "4711 DOVER HILLS DR APT 205",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49009",
            "telephone_number": "703-231-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PORTAGE NORTHERN HIGH SCHOOL",
            "address_2": "1000 IDAHO AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "49024",
            "telephone_number": "269-323-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "JULIE",
        "middle_name": "LYNN",
        "credential": "ATC, AT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CERTIFICAITON INC, ATHLETIC TRAINER",
            "identifier": "2000023797",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN STATE LICENSURE, ATHLETIC TRAINER",
            "identifier": "2000023797",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Lynne Green, FNP-C
• Varquwon Lamar Green
• Emily Greenhalgh
• Erinn Raeda Greenman
• Dietmar J Grentz, MD
• Jessica M Griffioen, MA, LLPC, NCC
• Heidi L Griggs, DO
• Growth Mindset Counseling, PLLC
• Francis A Grubelich, MD
• Amy Marie Gruver, LMT

• Athletic Trainer in Portage, MI
• Providers in Portage, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.