Active NPI
Delight J Griswold, NP MSN APN BC
- Nurse Practitioner
- Evansville, IN
National Provider Identifier
1720097017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71003905A
- Practice address
- 600 Mary St
Evansville, IN 47710-1674 - Phone
- (812) 450-3405
- Fax
- (812) 450-3099
- NPI assigned
- Aug 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71003905A | IN | Primary |
Addresses
Primary practice location
600 Mary St
Evansville, IN 47710-1674
Mailing address
PO Box 3407
Evansville, IN 47733-3407
Phone (812) 450-3405
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ95961Z | Other | BLUE SHIELD WFP | |
| FHC03843F | Medicaid | CA | |
| FHC70292F | Medicaid | CA | |
| ZZZ42576Z | Other | BLUE SHIELD DFP | |
| ZZZ87615Z | Other | NHC | |
| FHC70081F | Medicaid | CA |
Other names 1
- Ms. Delight Jane Griswold
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
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16485 | CA | MD | Pediatric Infectious Diseases Physician |
| 71003905A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Emergency Associates | Past | Accepting new patients | |
| Marion Emergency Physicians, LLC | Past | Accepting new patients |
Interoperability endpoints
- dgriswol@yourcarecommunity.org
Organizations & group practices 2
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.
-
- Personal Emergency Response Attendant
- Indianapolis, IN
- NPI 1053366922
-
- Emergency Medicine Physician
- Marion, IL
- NPI 1679870513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343865600000",
"number": "1720097017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3407",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477333407",
"telephone_number": "812-450-3405",
"fax_number": "812-450-3099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MARY ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101674",
"telephone_number": "812-450-3405",
"fax_number": "812-450-3099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRISWOLD",
"first_name": "DELIGHT",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "NP MSN APN BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2012-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71003905A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD WFP",
"identifier": "ZZZ95961Z",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FHC03843F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FHC70292F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD DFP",
"identifier": "ZZZ42576Z",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHC",
"identifier": "ZZZ87615Z",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FHC70081F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DELIGHT",
"last_name": "GRISWOLD",
"middle_name": "JANE",
"prefix": "MS.",
"credential": "MSNAPN,BC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.