Active NPI
Breakthrough Clinical Services LLC
- Family Nurse Practitioner
- Smithfield, VA
National Provider Identifier
1992482061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- BREAKTHROUGH CLINICAL SERVICES LLC
- Practice address
- 4338 Fort Huger Dr
Smithfield, VA 23430-5364 - Phone
- (757) 542-3888
- Fax
- (757) 542-3890
- NPI assigned
- Jun 30, 2023
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Katrina J Griffin, NP
- Title
- Owner
- Phone
- (757) 542-3888
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Williamsburg, VA
- NPI 1629795711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230907004456 | VA | Part B Supplier - Clinic/Group Practice | 4688038714 |
Receives reassigned benefits from 1 practitioner Practice locations: Petersburg, VA; Smithfield, VA |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4338 Fort Huger Dr
Smithfield, VA 23430-5364
Mailing address
4338 Fort Huger Dr
Smithfield, VA 23430-5364
Phone (757) 542-3888
Other practice location 1
2305 Dangerfield Court
Unit 5817
Williamsburg, VA 23185
Phone (757) 542-3888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 30, 2023.
{
"created_epoch": "1688083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688083200000",
"number": "1992482061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4338 FORT HUGER DR",
"city": "SMITHFIELD",
"state": "VA",
"postal_code": "234305364",
"telephone_number": "757-542-3888",
"fax_number": "757-542-3890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4338 FORT HUGER DR",
"city": "SMITHFIELD",
"state": "VA",
"postal_code": "234305364",
"telephone_number": "757-542-3888",
"fax_number": "757-542-3890"
}
],
"practiceLocations": [
{
"address_1": "2305 Dangerfield Court",
"address_2": "Unit 5817",
"address_purpose": "LOCATION",
"city": "Williamsburg",
"state": "VA",
"postal_code": "23185",
"country_code": "US",
"telephone_number": "757-542-3888",
"fax_number": "757-542-3890",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BREAKTHROUGH CLINICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-30",
"last_updated": "2023-06-30",
"certification_date": "2023-06-20",
"status": "A",
"authorized_official_last_name": "GRIFFIN",
"authorized_official_first_name": "KATRINA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-542-3888",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.