Pam Sue Grassmidt, RNC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

332355 Issued in CA

Practice address

1552 Coffee Rd
Modesto, CA 95355-3107

Phone

(209) 521-4372

Fax

(209) 523-2005

NPI assigned

May 2, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1073735163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 COFFEE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553107",
            "telephone_number": "209-521-4372",
            "fax_number": "209-523-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 COFFEE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553107",
            "telephone_number": "209-521-4372",
            "fax_number": "209-523-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASSMIDT",
        "first_name": "PAM",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "RNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "332355",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "332355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Granados, LCSW
• Maria Granados
• Jessica Grande
• Anders E Grant, MD
• Camille Rose Grant, PHARM.D.
• Richard Warren Gratian, M.D.
• Shakena Graves
• Aliyah Gray
• Sharee Gray
• Robyn L Grayson

• Adult Health Nurse Practitioner in Modesto, CA
• Providers in Modesto, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.