Tashua Lashun Grizzle, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

RN29755 Issued in GA

Practice address

4131 Merle CT
McDonough, GA 30252-8125

Phone

(678) 772-0830

NPI assigned

Jan 14, 2022

Last updated

Jan 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1427709054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 MERLE CT",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302528125",
            "telephone_number": "678-772-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 MERLE CT",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302528125",
            "telephone_number": "678-772-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIZZLE",
        "first_name": "TASHUA",
        "middle_name": "LASHUN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "GA",
            "license": "NHA004969",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "GA",
            "license": "RN29755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherrille Greene, L.C.S.W
• Sterling Grey Simmons, IBCLC
• Lorrie E Grier
• Rolando Griffin
• Hannah Marie Griggs, NP
• Susan Lynn Grosser-Marcum, LMT
• Jonisha Groves
• GS Health Services LLC
• Francia Nicole Guerrier, CPHT
• Jena Guida, MS, OTR/L

• Administrator Registered Nurse in McDonough, GA
• Providers in McDonough, GA by specialty
• Administrator Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.