DR. HEATHER RENEE GRIFFIN (NPI# 1083889224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083889224 |
| Entity Type | Individual |
| Full Name | DR. HEATHER RENEE GRIFFIN |
| Other Name | HEATHER RENEE MUMMAW |
| Credential | EDD, BCBA |
| Practice Address |
2980 Hartley Road West Suite 2 Jacksonville FL 32257 |
| Practice Telephone | 9047107427 |
| Mailing Telephone | 9047107427 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710442934 | Heather Griffin | Hearing Instrument Specialist | 18997 Us Highway 441, Mount Dora, FL 32757-6735 | 2019-02-01 |
| 1891248043 | Heather Ann Griffin | Massage Therapist | 245 Scenic Dr Se, Moses Lake, WA 98837-9455 | 2016-07-24 |
| 1578945937 | Heather Lowery Griffin | Psychiatry & Neurology | 997 Saint Sebastian Way, Augusta, GA 30912-2613 | 2015-06-22 |
| 1871932269 | Heather R. Griffin | Speech-Language Pathologist | 319 S Dargan St, Florence, SC 29506-2538 | 2013-06-18 |
| 1477794980 | Heather Marie Griffin | Social Worker | 50 Park Rd, Westbrook, ME 04092-3176 | 2009-03-12 |
| 1902044589 | Heather Michele Griffin | Occupational Therapist | 90 E Stephens St, Camilla, GA 31730-1836 | 2009-02-04 |
| 1356596407 | Heather Hatcher Griffin | Counselor | 8000 Corporate Center Dr, Suite 109, Charlotte, NC 28226-4464 | 2008-11-17 |
| 1003004953 | Heather Griffin | Case Manager/Care Coordinator | 829 Halbert St, Malvern, AR 72104-2607 | 2007-10-04 |
| 1376753871 | Heather Lovett Griffin | Pharmacist | 2525 Horizon Lake Dr, Suite 101, Memphis, TN 38133-8119 | 2007-05-23 |
| Street Address |
2980 HARTLEY ROAD WEST SUITE 2 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835842 | Majdoline Kasera | Pharmacist | 11250-4 Old St Augustine Rd, Jacksonville, FL 32257 | 2019-08-06 |
| 1386203859 | Jetaime Y Lewis | Physical Therapist | 9765 San Jose Blvd Ste 6, Jacksonville, FL 32257 | 2019-06-10 |
| 1437622107 | Michelle Espanol Garcia | Nurse Practitioner | 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 | 2019-01-05 |
| 1982172995 | Pacifica Augustine Road LLC | Alzheimer Center (Dementia Center) | 10660 Old Augustine Road, Jacksonville, FL 32257 | 2018-11-07 |
| 1659860492 | Andrea Leigh Miller | Social Worker | 10416 Spotted Fawn Lane, Jacksonville, FL 32257 | 2018-05-08 |
| 1376049965 | Stephanie Lynne Jordon | Nurse Practitioner | 9765 San Jose Blvd Ste 102, Jacksonville, FL 32257 | 2018-04-02 |
| 1205335619 | Annetta Aileen Brown | Respite Care | 4901 Sunbeam Rd Apt 1016, Jacksonville, FL 32257 | 2018-02-12 |
| 1841714888 | Freda Stevens | Counselor | 9521 Shellie Road Unit 13, Jacksonville, FL 32257 | 2017-08-01 |
| 1659821353 | Jennifer Lavoro | Acupuncturist | 11259 Thomaston Pl, Jacksonville, FL 32257 | 2016-10-06 |
| 1225488232 | Avenues Dental LLC | Dentist | 6144 Gazebo Park Place South, Ste 210, Jacksonville, FL 32257 | 2016-06-21 |
| Find all providers in zip 32257 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316557630 | Nicole Felicia Felton | Psychologist | 9267 Canary Ivy Ln, Jacksonville, FL 32219-6001 | 2020-08-01 |
| 1013572304 | Alf 8860 Adrd Training Provider LLC. | Psychologist | 7990 Baymeadows Rd E Unit 1001, Jacksonville, FL 32256-2977 | 2019-05-02 |
| 1265811855 | Nyoka Mann | Psychologist | 6999 Merrill Rd Ste 2, #326, Jacksonville, FL 32277-2690 | 2015-05-28 |
| 1053740902 | Zamekio Jackson | Psychologist | 103 Century 21 Dr, Jacksonville, FL 32216-8116 | 2013-11-01 |
| 1699743351 | Paul Eugene Napier | Psychologist | 10175 Fortune Pkwy Unit 903, Jacksonville, FL 32256-6755 | 2006-03-09 |
| 1821092677 | Anderson Cherokee Community Enrichment Services | Psychologist | 913 N Jackson St, Jacksonville, TX 75766-3801 | 2005-06-09 |
| 1801249768 | Alyssa Morgan Sedghi-khoi | Psychologist | 6817 Southpoint Pkwy, Ste 1501, Jacksonville, FL 32216-6282 | 2016-07-15 |
| 1871756437 | Physician's Management Group | Psychologist | 2520 W Main St, Jacksonville, AR 72076-4214 | 2008-07-03 |
| 1154325645 | Anderson Cherokee Community Enrichment Services | Psychologist | 5656 N Jackson St, Jacksonville, TX 75766-9641 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962012310 | Wesley Green | Psychologist | 3340 Lake Center Dr Apt 12107, Mount Dora, FL 32757-2378 | 2020-07-31 |
| 1235748500 | Ruth J Keili | Psychologist | 3562 Old Village Dr, Orange Park, FL 32065-5521 | 2020-07-23 |
| 1609410059 | Barbara Ann Davis | Psychologist | 1324 Fairway Village Dr, Fleming Island, FL 32003-8398 | 2019-10-29 |
| 1417599531 | Bernice L Walker | Psychologist | 2449 Bracknell Forest Trl, Tavares, FL 32778-5706 | 2019-10-09 |
| 1114497278 | Tayana Washington | Psychologist | 2008 Se 45th Terr, Gainesville, FL 32641-3264 | 2018-12-03 |
| 1598251795 | Tez-mia Kimberly Gray | Psychologist | 1100 Lime St Apt 28, Fernandina Beach, FL 32034-4417 | 2018-07-11 |
| 1205331881 | Tyric Lamont Drummond | Psychologist | 990 62nd Ter S, Saint Petersburg, FL 33705-5819 | 2018-03-27 |
| 1669973640 | Tanya Delanie Samuels | Psychologist | 502 Camino Real Ct Apt A, Brandon, FL 33510-3704 | 2018-02-23 |
| 1760998058 | Candace Mckinzie | Psychologist | 2416 Granby St, Sanford, FL 32771-9654 | 2017-12-21 |
| 1295259257 | Kathleen Lester Arias | Psychologist | 509 Sw Dahled Ave, Port St Lucie, FL 34953-4029 | 2017-08-01 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32257 |
Please comment or provide details below to improve the information on DR. HEATHER RENEE GRIFFIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.