Individual provider Active NPI

Stephanie Griffin

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1821866344
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
222667 Issued in AZ
Practice address
1492 S Mill Ave Ste 212
Tempe, AZ 85281-5664
Phone
(480) 410-4128
NPI assigned
Dec 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 222667 AZ Primary

Addresses

Primary practice location

1492 S Mill Ave Ste 212
Tempe, AZ 85281-5664

Mailing address

19360 S 208TH PL
Queen Creek, AZ 85142-1615
Phone (480) 217-1241

Other practice location 1

19360 S 208th Pl
Queen Creek, AZ 85142-1615
Phone (480) 217-1241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240404002702 AZ Practitioner - Nurse Practitioner 8123466562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Be Well Family CareGroup PAC ID 2163844986, 9 clinicians

Practice addresses (Care Compare)

1492 S Mill Aveune
Suite 212
Tempe, AZ 85281-5664
Phone (480) 410-4128

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Be Well Family Care Family CurrentSince Feb 20, 2024 Accepting new patients

Locations

3402 N Central Ave
Phoenix, AZ 85012
Phone (480) 410-4128

10446 N 74th St
Ste 140
Scottsdale, AZ 85258
Phone (602) 441-2778

1492 S Mill Ave
Ste 212
Tempe, AZ 85281
Phone (480) 410-4128

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22341/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stephanie.griffin.1@22341.direct.athenahealth.com

Organizations & group practices 1

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": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1821866344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19360 S 208TH PL",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421615",
            "telephone_number": "480-217-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 S MILL AVE STE 212",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815664",
            "telephone_number": "480-410-4128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19360 S 208th Pl",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851421615",
            "country_code": "US",
            "telephone_number": "480-217-1241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-14",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "222667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.