Mallory Griffin, RN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP1067696 Issued in WA

Practice address

11724 NE 195TH Street
Suite #100
Bothell, WA 98011

Phone

(425) 318-3100

Fax

(425) 318-3101

NPI assigned

Feb 7, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatric Associates, Inc., Dba Allegro Pediatrics

  dba Allegro Pediatrics

  • Pediatrics Physician
  • Bothell, WA
  • NPI 1912353111
  NPD
• Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics

  dba Sammamish

  • Pediatrics Physician
  • Sammamish, WA
  • NPI 1699849331
  NPD (past)

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1780216663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11724 NE 195TH STREET",
            "address_2": "SUITE #100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "98011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11724 NE 195TH STREET",
            "address_2": "SUITE #100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "98011",
            "telephone_number": "425-318-3100",
            "fax_number": "425-318-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "MALLORY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WA",
            "license": "AP1067696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Laine Greenup
• Gregory G. Wang, DDS, PLLC
• April Sotelo Greninger, MS
• Kelly P Grenner, ARNP-FNP
• Kristina A Grey, DDS, MSD
• Nova Griffin, LMT
• Jennifer Griner
• Patricia Groebner, OTRL
• Rachna Eav Grunkemeier, PA-C
• Christopher Guardiano

• Pediatric Nurse Practitioner in Bothell, WA
• Providers in Bothell, WA by specialty
• Pediatric Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.