Individual provider Active NPI

Shamona Nophesia Griffiths, CRNP

  • Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1780290262
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN736861 Issued in PA
Practice address
6158 Hasbrook Ave
Philadelphia, PA 19111-5921
Phone
(267) 595-2572
NPI assigned
Sep 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR22025500 NJ
Nurse Practitioner 363L00000X RN736861 PA Primary

Addresses

Primary practice location

6158 Hasbrook Ave
Philadelphia, PA 19111-5921

Mailing address

6158 Hasbrook Ave
Philadelphia, PA 19111-5921
Phone (267) 595-2572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250917003172 PA Practitioner - Nurse Practitioner 8325542962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Hospitalists LLCGroup PAC ID 4385872290, 10 clinicians

Practice addresses (Care Compare)

507 Kimberton Rd
Phoenixville, PA 19460-4745
Phone (484) 429-2351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR22025500NJMDRegistered Nurse
RN736861PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Hospitalists, LLC Nurse Practitioner CurrentSince Jun 27, 2025 Accepting new patients

Locations

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

507 Kimberton Rd
Phoenixville, PA 19460
Phone (610) 243-9117

315 E London Grove Rd
West Grove, PA 19390
Phone (610) 335-1024

2000 Greenbriar Ln
West Grove, PA 19390
Phone (610) 869-6768

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1600473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1780290262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6158 HASBROOK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115921",
            "telephone_number": "267-595-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6158 HASBROOK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115921",
            "telephone_number": "267-595-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITHS",
        "first_name": "SHAMONA",
        "middle_name": "NOPHESIA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-19",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR22025500",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "RN736861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.