L C Grissom and Associates PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN030340 Issued in AZ

Legal business name

L C GRISSOM AND ASSOCIATES PLLC

Practice address

1600 W Chandler Blvd
Ste. 250
Chandler, AZ 85224-6153

Phone

(480) 775-8811

Fax

(480) 775-8866

NPI assigned

Nov 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Linda Carol Grissom, N.P.

Title

Nurse Practitioner

Phone

(480) 775-8811

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danielle T Putrow, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chandler, AZ
  • NPI 1184635005
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033280359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W CHANDLER BLVD",
            "address_2": "STE. 250",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246153",
            "telephone_number": "480-775-8811",
            "fax_number": "480-775-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W CHANDLER BLVD",
            "address_2": "STE. 250",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246153",
            "telephone_number": "480-775-8811",
            "fax_number": "480-775-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L C GRISSOM AND ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRISSOM",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "480-775-8811",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN030340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Svitlana Kwee, DENTAL HYGIENIST
• Brittany Nicole Kwiatkowski, BCBA
• Christophe Kwizera
• Annie Kyger, PHARMD
• Mya Kyler
• L. Morse, DMD, P.C.
• Ricardo La Grotta, MD
• La Laser Center PC, a Professional Medical Corporation
• La Laser Center PC, a Professional Medical Corporation
• La Maison Investors, LLC

• Psychiatric/Mental Health Nurse Practitioner in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.