J.R. Griffin Crnfa LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP7367 Issued in AZ

Legal business name

J.R. GRIFFIN CRNFA LLC

Practice address

11811 N Tatum Blvd Ste P199
Phoenix, AZ 85028-1698

Phone

(480) 720-6347

NPI assigned

Oct 31, 2014

Last updated

Sep 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jay R Griffin, NPNPI 1427368430

Title

Owner/ President

Phone

(480) 720-6347

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jay Griffin

  • Nurse Practitioner
  • Phoenix, AZ
  • NPI 1427368430
  Authorized official Same address or phone

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567900800000",
    "number": "1710382841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 E GREENWAY PKWY # 103-151",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542025",
            "telephone_number": "480-720-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 N TATUM BLVD STE P199",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281698",
            "telephone_number": "480-720-6347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1928 E Highland Ave",
            "address_2": "Suite F104193",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850164626",
            "country_code": "US",
            "telephone_number": "480-720-6347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "J.R. GRIFFIN CRNFA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2019-09-08",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "480-720-6347",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2019; 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.