Retia Grissett

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

008334577 Issued in SC

Practice address

3913 Westmore Dr
Columbia, SC 29223-4769

Phone

(803) 446-7480

NPI assigned

Oct 10, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1578038113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 FOREST DR, STE 3 PMB 157",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292063125",
            "telephone_number": "803-232-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3913 WESTMORE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234769",
            "telephone_number": "803-446-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISSETT",
        "first_name": "RETIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "SC",
            "license": "371446270",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "SC",
            "license": "008334577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Grimsley, APRN
• Patricia Kranz Griner, OD
• Casey John Gringer
• Katherine Duffy Grinton, P.A.-C
• Constance Gripper
• Bonnie J Grissom, RN
• Anna S Griswold, PHD
• Courtney Griswold
• Marilee Chantal Griswold, M.D.
• Michael Gritzbach

• All providers in Columbia, SC
• Private Vehicle in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.