Active NPI
Tiffini Griffin
- Registered Nurse
- Ballwin, MO
National Provider Identifier
1851036172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2003008803
- Practice address
- 50 Meramec Trail Dr
Ballwin, MO 63021-3303 - Phone
- (636) 923-2323
- NPI assigned
- May 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2003008803 | MO | Primary |
Addresses
Primary practice location
50 Meramec Trail Dr
Ballwin, MO 63021-3303
Mailing address
538 Chapel Cross Dr
Florissant, MO 63031-1674
Phone (314) 313-2245
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1111 | Other | PRIVATE PAY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003008803 | MO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1851036172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "538 CHAPEL CROSS DR",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630311674",
"telephone_number": "314-313-2245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 MERAMEC TRAIL DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630213303",
"telephone_number": "636-923-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "TIFFINI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-02",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2003008803",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE PAY",
"identifier": "1111",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.