Tessa Griffin
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Madison, WI
NPI 1821897265 · NPPES record last updated Mar 10, 2025
Key facts
- NPI
- 1821897265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 750 Highland Ave
Madison, WI 53705-2221 - Phone
- (401) 347-4923
- NPI assigned
- Mar 10, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260610001532 | WI | Order and Referring Only - Otolaryngology |
5092286054 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
750 Highland Ave
Madison, WI 53705-2221
Mailing address
750 Highland Ave
Madison, WI 53705-2221
Other providers in Madison, WI
- Cynthia Marie de Jesus Griffin
- Erin Griffin
- Kim Griffin
- Leon Griffin Jr.
- Taylor Ann Griffin
- Thomas Griffin
- Brian David Griffith
- Michelle Griffith
- Gary R Griglione
- Mary Lee Grigson
All providers in Madison, WI · Student in an Organized Health Care Education/Training Program in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.