Tamara Melissa Grissell, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F333342 Issued in NY

Practice address

10 Empire State Blvd
Castleton, NY 12033-9751

Phone

(518) 479-6837

Fax

(518) 479-6849

NPI assigned

Jun 13, 2006

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Glaucoma Consultants of the Capital Region,PLLC

  • Ophthalmology Physician
  • Slingerlands, NY
  • NPI 1073530952
  NPD (past)
• Ophthalmic Plastic Surgery,PLLC

  • Ophthalmology Physician
  • Slingerlands, NY
  • NPI 1235113424
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1467495002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EMPIRE STATE BLVD",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120339751",
            "telephone_number": "518-479-6837",
            "fax_number": "518-479-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 EMPIRE STATE BLVD",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120339751",
            "telephone_number": "518-479-6837",
            "fax_number": "518-479-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISSELL",
        "first_name": "TAMARA",
        "middle_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2283141",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nafisul Ghani, PHARM.D
• Cathy Gilchrist
• Rebecca Ann Gildersleeve, M.D.
• Anne Valerio Goff, LCSW-R
• Anthony Neal Gregory, MD MPH
• Lizabeth Hansen
• Nancy Ann Harris, NP
• Kristen Marie Hausler, MS CCC-SLP
• Kristine Loparo Heck, MD
• Stacy Marie Herron, MS, SLP

• All providers in Castleton, NY
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.