Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780216663 Individual Practitioner Female Practitioner

Mallory Griffin , RN

Nurse Practitioner - Pediatrics • Bothell, WA

Professional Overview & Biography Verified Profile Summary

Mallory Griffin, RN is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Bothell, WA. Practice services are available at 11724 NE 195TH STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11724 Ne 195th Street
Suite #100

Bothell, WA 98011

Telephone 4253183100
Fax 4253183101
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Bothell, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Bothell, WA (508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-02
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License WA AP1067696

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Brianna Label

Pediatrics

NPI 1144463944
Alexander Hill

Pediatrics

NPI 1144563248
NPI 1285713693

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

NPI 1598830226

Doctor of Medicine (M.D.)

Nisha Ahir

Pediatrics

NPI 1902124423
NPI 1912927963

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2026

Nurse Practitioner (License #AP1067696 in WA)

📍
Updated Practice Location January 30, 2023

Registered at 11724 NE 195TH STREET, SUITE #100, BOTHELL, WA 98011 (Tel: 4253183100)

📍
Updated Business Mailing Address January 30, 2023

Registered at 11724 NE 195TH STREET, SUITE #100, BOTHELL, WA 98011

NPI Profile Active February 07, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location February 07, 2020

Registered at 2700 NORTHUP WAY, BELLEVUE, WA 980041463 (Tel: 4258274600)

📍
Updated Business Mailing Address February 07, 2020

Registered at 2700 NORTHUP WAY, BELLEVUE, WA 980041463

👤
Provider Name / Credentials Updated February 07, 2020

Recorded as MALLORY GRIFFIN, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2020

Registered Nurse (License #RN60771738 in WA)

🟢
Initial NPI Registration & Enumeration February 07, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780216663
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2020
Last Update: July 02, 2026
Sole Proprietor: No

Mailing Address

11724 Ne 195th Street, Suite #100

Bothell, WA 98011

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.