Individual provider Active NPI

Ann M Griffin, DNP ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Issaquah, WA
National Provider Identifier
1962047811
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61078143 Issued in WA
Practice address
160 NW Gilman Blvd Ste 423
Issaquah, WA 98027-2549
Phone
(206) 453-4530
NPI assigned
Nov 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00120602 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61078143 WA Primary

Addresses

Primary practice location

160 NW Gilman Blvd Ste 423
Issaquah, WA 98027-2549

Mailing address

6547 42ND Ave SW Apt 404
Seattle, WA 98136-3202
Phone (425) 753-6365

Other practice location 1

101 Elliott Ave W Ste 500
Seattle, WA 98119-4292
Phone (206) 708-6432

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://wellbeing.uw.edu/unit/hall-health/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20200923003128 WA Practitioner - Nurse Practitioner 6709205875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

101 Elliott Ave W
Suite 500
Seattle, WA 98119-4292
Phone (425) 640-7009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61078143WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers CurrentSince Aug 4, 2020 Accepting new patients
Stellers Integrative Psychiatry PLLC Psychiatric/Mental Health CurrentSince May 16, 2022 Accepting new patients
Sea Mar Community Health Centers Current Accepting new patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince Dec 13, 2022 Accepting new patients
Sea Mar Community Health Centers Registered Nurse CurrentSince Aug 4, 2020 Accepting new patients
Wadsworth Psychiatric Services PLLC Psychiatric/Mental Health PastSince May 1, 2022 Accepting new patients

Locations

3801 150th Ave SE
Bellevue, WA 98006
Phone (425) 460-7140

14405 SE 36th St
Ste 300
Bellevue, WA 98006
Phone (425) 215-3633

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

101 Elliott Ave W
Ste 500
Seattle, WA 98119
Phone (206) 708-6432

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1962047811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6547 42ND AVE SW APT 404",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981363202",
            "telephone_number": "425-753-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NW GILMAN BLVD STE 423",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272549",
            "telephone_number": "206-453-4530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Elliott Ave W Ste 500",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981194292",
            "country_code": "US",
            "telephone_number": "206-708-6432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "DNP ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00120602",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61078143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://wellbeing.uw.edu/unit/hall-health/",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4060 E Stevens Way NE",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981950001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

Verify at the official NPI Registry.