Individual provider Active NPI

Michael Lee Griffin

  • Basic Emergency Medical Technician
  • Brandon, SD
National Provider Identifier
1871008078
Registry record updated Dec 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
Practice address
1306 E Redwood Blvd
Brandon, SD 57005-1574
Phone
(507) 360-1434
NPI assigned
Dec 10, 2017
Last updated
Dec 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X Primary

Addresses

Primary practice location

1306 E Redwood Blvd
Brandon, SD 57005-1574

Mailing address

1306 E Redwood Blvd
Brandon, SD 57005-1574
Phone (507) 360-1434

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

NPI Registry JSON

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

{
    "created_epoch": "1512864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512864000000",
    "number": "1871008078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 E REDWOOD BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051574",
            "telephone_number": "507-360-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 E REDWOOD BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051574",
            "telephone_number": "507-360-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-10",
        "last_updated": "2017-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2017; 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.