L C GRISSOM AND ASSOCIATES PLLC (NPI# 1033280359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033280359 |
| Entity Type | Organization |
| Organization Name | L C GRISSOM AND ASSOCIATES PLLC |
| Practice Address |
1600 W Chandler Blvd Ste. 250 Chandler AZ 85224-6153 |
| Practice Telephone | 4807758811 |
| Practice Fax Number | 4807758866 |
| Mailing Telephone | 4807758811 |
| Mailing Fax Number | 4807758866 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LINDA CAROL GRISSOM (NURSE PRACTITIONER) |
| Authorized Official Telephone | 4807758811 |
| Authorized Official Credential | N.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN030340 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1600 W CHANDLER BLVD STE. 250 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85224-6153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801883640 | Ramvinay S Seddabattula | Internal Medicine | 1600 W Chandler Blvd, Suite 160, Chandler, AZ 85224-6153 | 2005-10-05 |
| 1740899699 | Britney Linzy | Counselor | 1600 W Chandler Blvd, Chandler, AZ 85224-6153 | 2020-07-27 |
| 1407130925 | Odyssey Infusions | Internal Medicine | 1600 W Chandler Blvd, Suite 160, Chandler, AZ 85224-6153 | 2011-10-03 |
| 1609157197 | Synergy Infectious Disease | Internal Medicine | 1600 W Chandler Blvd, Suite 160, Chandler, AZ 85224-6153 | 2011-08-29 |
| 1578890794 | Jill Nutt | Radiologic Technologist | 1600 W Chandler Blvd, Suite 230, Chandler, AZ 85224-6153 | 2009-11-09 |
| 1881716645 | Absolute Family Dentistry | Clinic/Center | 1600 W Chandler Blvd, Suite #100, Chandler, AZ 85224-6153 | 2007-04-04 |
| 1952483976 | Michael G. Smith | Dentist | 1600 W Chandler Blvd, #100, Chandler, AZ 85224-6153 | 2006-10-19 |
| 1184635005 | Danielle T Putrow | Nurse Practitioner | 1600 W Chandler Blvd, Suite 250, Chandler, AZ 85224-6153 | 2006-08-10 |
| 1972511384 | David Scott Daley | Dentist | 1600 W Chandler Blvd, #210, Chandler, AZ 85224-6153 | 2006-08-03 |
| 1720023062 | Urologic Health Associates Plc | Urology | 1600 W Chandler Blvd, Ste 160, Chandler, AZ 85224-6153 | 2006-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
| 1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
| 1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
| 1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
| 1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
| 1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
| 1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
| 1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
| 1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
| 1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
| Find all providers in zip 85224 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953699 | Rebecca Jane Turley | Nurse Practitioner | 1681 S Villas Ln, Chandler, AZ 85286-6805 | 2020-08-18 |
| 1053923599 | Nancy Ogoti Monyenye | Nurse Practitioner | 2518 E Indian Wells Pl, Chandler, AZ 85249-4166 | 2020-08-17 |
| 1659899045 | Maricopa Christian Psychiatry Group, LLC | Nurse Practitioner | 3130 N Arizona Ave Ste 101, Chandler, AZ 85225-7162 | 2017-09-06 |
| 1356724728 | Chitra Mathew | Nurse Practitioner | 70 N Mcclintock Dr Ste 4, Chandler, AZ 85226-3711 | 2015-07-03 |
| 1104234574 | Lydia Corazon Samin Alvarez | Nurse Practitioner | 4742 W Oakland St, Chandler, AZ 85226-2926 | 2014-07-29 |
| 1982963658 | Shirley Ann Sheroian | Nurse Practitioner | 3873 W Park Ave, Chandler, AZ 85226-1390 | 2012-05-15 |
| 1114199759 | Stephen Earl Pray IIi | Nurse Practitioner | 3283 E Oriole Way, Chandler, AZ 85286-5669 | 2008-03-24 |
| 1609930932 | Life Journey Psychiatric Pllc | Nurse Practitioner | 3655 E. Bluebird Place, Chandler, AZ 85249 | 2006-12-21 |
| 1184696569 | Grace R Keckeisen | Nurse Practitioner | 2705 S Alma School Rd Ste 2, Chandler, AZ 85286-4400 | 2006-02-01 |
| 1346864238 | Tiffany Stradling | Nurse Practitioner | 335 N Alma School Rd, Chandler, AZ 85224-4363 | 2020-06-05 |
| Find all providers in CHANDLER | ||||
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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.