Individual provider Active NPI

Connie Griffin, NP

  • Primary Care Nurse Practitioner
  • Linden, TN
National Provider Identifier
1861592255
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
10449 Issued in TN
Practice address
847 Squirrel Hollow Drive
Linden, TN 37096
Phone
(931) 589-2600
Fax
(931) 589-2602
NPI assigned
Sep 25, 2006
Last updated
Mar 31, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 10449 TN
Nurse Practitioner 363L00000X APN0000010449 TN
Acute Care Nurse Practitioner 363LA2100X TN10449 TN
Primary Care Nurse Practitioner 363LP2300X 10449 TN Primary

Addresses

Primary practice location

847 Squirrel Hollow Drive
Linden, TN 37096

Mailing address

PO Box 56
Linden, TN 37096-0056
Phone (931) 589-2600

Other names 1

  • Connie Vineyard Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20041014000085 TN Practitioner - Nurse Practitioner 4082674072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alm and Agm LLCGroup PAC ID 6608263090, 8 clinicians

Practice addresses (Care Compare)

62 Medical Dr
Suite a
Linden, TN 37096-3305
Phone (931) 589-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000010449TNMDNurse Practitioner
TN10449TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alm & Agm LLC Rural Health CurrentSince Jul 14, 2022 Accepting new patients
Emergency Coverage Services, PC Nurse Practitioner Past Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner Past Accepting new patients
Rapidcare LLC PastSince Sep 19, 2012 Accepting new patients
Maury Emergency Physicians PLLC Past Accepting new patients

Locations

62 Medical Dr
Ste A
Linden, TN 37096
Phone (931) 589-2600

847 Squirrel Hollow Dr
Linden, TN 37096
Phone (931) 589-2600

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1861592255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56",
            "city": "LINDEN",
            "state": "TN",
            "postal_code": "370960056",
            "telephone_number": "931-589-2600",
            "fax_number": "931-589-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 SQUIRREL HOLLOW DRIVE",
            "city": "LINDEN",
            "state": "TN",
            "postal_code": "37096",
            "telephone_number": "931-589-2600",
            "fax_number": "931-589-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "CONNIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TN",
            "license": "10449",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000010449",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "TN10449",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "10449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "VINEYARD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Linden, TN

Sources for this page

Verify at the official NPI Registry.