Reginique K Griffin

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

1305 Conoga St
Norfolk, VA 23523-1993

Phone

(757) 359-3204

NPI assigned

Jul 4, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Destined Beginnings LLC

  • Community/Behavioral Health Agency
  • Virginia Beach, VA
  • NPI 1811711856
  NPD Authorized official

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

{
    "created_epoch": "1720051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1710723127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 CONOGA ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235231993",
            "telephone_number": "757-359-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 CONOGA ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235231993",
            "telephone_number": "757-359-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "REGINIQUE",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-04",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia B Gresham, RT
• Laura Crisler Gresham, M.A., CCC-SLP
• Briana Grier, LPC
• Edna Griffenhagen, M.D.
• Katherine Farrell Griffin, DO
• Zachary Griffin, MD
• Holly Lynn Griffith, ATC
• Alesha Renee Griffiths, MD
• Arnnette C Griffiths, NP
• Renee Marie Grill, MD

• Community/Behavioral Health Agency in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2024; 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.