Active NPI
Monica Carol Griffith, APRN
- Nurse Practitioner
- Louisville, KY
National Provider Identifier
1699759902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3004429
- Practice address
- 9340 Cedar Center Way
Louisville, KY 40291-4522 - Phone
- (502) 239-8431
- NPI assigned
- Nov 30, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71002054A | IN | |
| Nurse Practitioner | 363L00000X | 3004429 | KY | Primary |
Addresses
Primary practice location
9340 Cedar Center Way
Louisville, KY 40291-4522
Mailing address
PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000770823 | Other | KY | ANTHEM - NCMA/DUPONT |
| 200802220 | Medicaid | IN | |
| 000000775339 | Other | KY | ANTHEM - NCMA/BRECKENRIDGE |
| 136935 | Other | KY | SIHO - NCMA BRECKENRIDGE LN |
| 78016912 | Medicaid | KY | |
| 136933 | Other | KY | SIHO-NCMA-DUPONT |
| 50040433 | Other | KY | PASSPORT - NCMA DUPONT |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3004429 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Enterprises, Inc. | Past | Accepting new patients | |
| Community Medical Associates, Inc. | Nurse Practitioner | Past | Accepting new patients |
| Community Medical Associates, Inc. | Nurse Practitioner | Past | Accepting new patients |
| Phoenix Emergency Services of Madison LLC | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1588614994
Nurse Practitioner
-
- Neurological Surgery Physician
- Louisville, KY
- NPI 1922288760
Nurse Practitioner
-
- Urgent Care Clinic/Center
- Louisville, KY
- NPI 1104863562
-
- Emergency Medicine Physician
- Madison, IN
- NPI 1881683548
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1699759902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776351",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776351",
"telephone_number": "502-588-9490",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9340 CEDAR CENTER WAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402914522",
"telephone_number": "502-239-8431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITH",
"first_name": "MONICA",
"middle_name": "CAROL",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71002054A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3004429",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM - NCMA/DUPONT",
"identifier": "000000770823",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200802220",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM - NCMA/BRECKENRIDGE",
"identifier": "000000775339",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO - NCMA BRECKENRIDGE LN",
"identifier": "136935",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78016912",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO-NCMA-DUPONT",
"identifier": "136933",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT - NCMA DUPONT",
"identifier": "50040433",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.