NICOLE GRIFFIN (NPI# 1578960118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578960118 |
| Entity Type | Individual |
| Full Name | NICOLE GRIFFIN |
| Credential | CRNP |
| Practice Address |
925 Main St Ste 100 Pennsburg PA 18073-1631 |
| Mailing Address |
110 E Howard St Stowe PA 19464-6708 |
| Practice Telephone | 2679238646 |
| Mailing Telephone | 6104769690 |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP013619 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
SP013619 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
SP013619 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0018444060004 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1776 E Lancaster Ave, Paoli, PA 193011550 | 8663892727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457859977 | Nicole Marie Griffin | Specialist/Technologist | 900 Glendale Rd, Liberty, MO 64068-2822 | 2018-01-30 |
| 1467097170 | Nicole Griffin | Counselor | 737 Dunn Rd, Hazelwood, MO 63042-1740 | 2019-11-18 |
| 1750923470 | Nicole Griffin | Occupational Therapist | 411 N Washington Ave Ste 5000, Dallas, TX 75246-1792 | 2019-10-14 |
| 1316348915 | Nicole Griffin | Nurse Practitioner | 26020 Point Lookout Rd, Leonardtown, MD 20650-2001 | 2014-09-15 |
| 1700213303 | Nicole Jeanine Griffin | Audiologist | 1320 Old Chain Bridge Rd, Unit #185, Mc Lean, VA 22101-3956 | 2013-09-27 |
| 1700137361 | Nicole Chapman Griffin | Nurse Practitioner | 1936 Magazine St, New Orleans, LA 70130-5016 | 2012-09-23 |
| 1063773976 | Nicole Vera Griffin | Specialist | 260 Beach 81st St, Apt 2f, Rockaway Beach, NY 11693-1902 | 2012-06-06 |
| 1447520416 | Nicole Griffin | Social Worker | 319 Beech St, Holyoke, MA 01040-3968 | 2012-01-09 |
| 1669741708 | Nicole Griffin | Counselor | 201 W Plymouth Ave, Deland, FL 32720-2753 | 2011-12-19 |
| 1750469649 | Nicole M. Griffin | Internal Medicine | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| Street Address |
925 MAIN ST STE 100 |
| City | PENNSBURG |
| State | PA |
| Zip Code | 18073-1631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558610162 | Laura Tomasso | Registered Nurse | 115 Penn St, Pennsburg, PA 18073 | 2012-08-29 |
| 1558312710 | Upper Perk Family Dental | Dentist | 2771 Geryville Pike, Pennsburg, PA 18073 | 2006-05-13 |
| 1679535686 | Stephanie Elizabeth Cleaver | Physical Therapist | 101 7th Street, Pennsburg, PA 18073 | 2006-04-05 |
| 1427578467 | Sarah Anne Heck | Occupational Therapist | 530 Macoby St, Pennsburg, PA 18073 | 2017-06-21 |
| 1619424256 | Linzy Peloso | Nurse Practitioner | 925 Main Street, #100, Pennsburg, PA 18073 | 2016-09-01 |
| 1023469608 | Next Step Foot & Ankle Center, LLC | Podiatrist | 158 Main St, Pennsburg, PA 18073 | 2016-06-25 |
| 1447631155 | Brittany Kuperavage | Family Medicine | 2793 Geryville Pike Ste 200, Pennsburg, PA 18073 | 2015-06-18 |
| 1710377288 | Amber Wunder | Behavioral Analyst | 1044 Runaway Dr, Pennsburg, PA 18073 | 2015-02-04 |
| 1265466130 | Richard A Ciccantelli | Podiatrist | 158 Main St, Pennsburg, PA 18073 | 2006-07-10 |
| 1982659603 | Richard B Bray | Dentist | 2771 Geryville Pike, Pennsburg, PA 18073 | 2006-05-23 |
| Find all providers in zip 18073 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820622 | Diyong S Graham | Nurse Practitioner | 2812 Tremont St, Philadelphia, PA 19136-1025 | 2020-10-26 |
| 1457967499 | Rpg Health | Nurse Practitioner | 332 Frenchtown Rd, Milford, PA 18337-9004 | 2020-09-16 |
| 1427666759 | Arevik Bagdasarova | Nurse Practitioner | 312 W Providence Rd, Aldan, PA 19018-3830 | 2020-07-22 |
| 1346861978 | Christine Martinez | Nurse Practitioner | 2 W Baltimore Ave Ste 101, Media, PA 19063-3740 | 2020-05-05 |
| 1720608490 | Jaci Trosky | Nurse Practitioner | 2824 Enon Rd, Enon Valley, PA 16120-1454 | 2020-04-22 |
| 1750910808 | Alpha Integrated Clinic | Nurse Practitioner | 8019 Frankford Ave Rear, Philadelphia, PA 19136-2786 | 2020-04-01 |
| 1427681394 | Hwayoung Kim | Nurse Practitioner | 315 New St Apt 403, Philadelphia, PA 19106-1135 | 2020-02-19 |
| 1720624539 | Patrice Carver Cash | Nurse Practitioner | 539 Chain St, Norristown, PA 19401-4607 | 2019-11-27 |
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1528601739 | Ashley Lynn Swartz | Nurse Practitioner | 390 Gates St, Johnstown, PA 15906-1906 | 2019-10-21 |
| Find all providers with the same taxonomy | ||||
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| 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.