Tracy Lynn Griffin

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

2015001695 Issued in MO

Practice address

5536 Hwy 32
Farmington, MO 63640-7357

Phone

(573) 218-4560

NPI assigned

Sep 20, 2023

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

State licenses

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1821876780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5536 HWY 32",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636407357",
            "telephone_number": "573-218-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5536 HWY 32",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636407357",
            "telephone_number": "573-218-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "2015001695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lynn Greif, BSW
• Robert Eugene Greif
• Darrell L Griffin, M.D.
• John David Griffin
• Melinda Lee Griffin, BS
• Alison Griffith, MA, RDN, LD
• Gary Grix
• Marian E. Gross
• Alicia Grow
• Rebecca Sue Hafner, RBT

• Addiction (Substance Use Disorder) Registered Nurse in Farmington, MO
• Providers in Farmington, MO by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.