Active NPI
Harrison Griffin, LAT
- Athletic Trainer
- Hallsville, TX
National Provider Identifier
1942016340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT8530
- Practice address
- 1 Bobcat LN
Hallsville, TX 75650 - Phone
- (903) 424-4219
- NPI assigned
- Dec 10, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT8530 | TX | Primary |
Addresses
Primary practice location
1 Bobcat LN
Hallsville, TX 75650
Mailing address
102 E Sycamore LN
Longview, TX 75604-3266
Phone (903) 424-4219
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 |
|---|---|---|---|
| AT8530 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1942016340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 E SYCAMORE LN",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756043266",
"telephone_number": "903-424-4219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BOBCAT LN",
"city": "HALLSVILLE",
"state": "TX",
"postal_code": "75650",
"telephone_number": "903-424-4219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "HARRISON",
"credential": "LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-10",
"last_updated": "2024-12-10",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT8530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hallsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.