Jamie Griggs, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN002129 Issued in NV

Practice address

2210 E Calvada Blvd
Pahrump, NV 89048

Phone

(702) 877-5199

NPI assigned

Mar 7, 2016

Last updated

Feb 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jamie Long Former name

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Khakwani Medical Corporation PCGroup PAC ID 7214207141, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jgriggs433254@pdshealth.direct-ci.com

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.

• Khakwani Medical Corporation, PC

  dba PDS Medical Group Henderson

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1801304043
  Medicare reassignment Care Compare group NPD
• Optum Medical Group II Rhodes P C

  dba Southwest Medical

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1790329407
  Medicare reassignment NPD
• Southwest Medical Associates, Inc

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1659346005
  Medicare reassignment NPD
• Khakwani Medical Corporation, PC

  dba PDS Medical Group Queensridge

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1134847965
  NPD
• Khakwani Medical Corporation, PC

  dba PDS Medical Group Centennial Hills

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1548121668
  NPD
• Optum Medical Group Rhodes P C

  dba Optumcare Anesthesia

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1770556037
  NPD
• Khakwani Medical Corporation, PC

  dba PDS Medical Group Union Village

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1700468204
  NPD (past)

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1811357627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-877-5199",
            "fax_number": "702-984-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 E CALVADA BLVD",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "89048",
            "telephone_number": "702-877-5199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4835 S Durango Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891478171",
            "country_code": "US",
            "telephone_number": "702-877-5199",
            "fax_number": "702-984-5184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIGGS",
        "first_name": "JAMIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002129",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN85668",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811357627",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "LONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grgich PC (Advanced Insight Behavioral Health)
• Grgich PC (Advanced Insight Behavioral Health)
• Gabrielle Griego
• Daniel W Griffith, D.C
• Derek L Griffith, PMHNP
• Kristi Grudjenski
• Charmaine Quirante Grumo, OTR/L
• Horacio Guerra, MD
• Abigail Guggisberg
• Jordan Gust

• Family Nurse Practitioner in Pahrump, NV
• Providers in Pahrump, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.