Tammy M Grisham, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9203521 Issued in FL

Practice address

714 NW Leonardo Cir
Port St Lucie, FL 34986-4354

Phone

(954) 448-3913

NPI assigned

Nov 1, 2017

Last updated

Jun 18, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Deno Services IncGroup PAC ID 7618238726, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: tgrisham80971@direct.acumenmd.com

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

• Deno Services Inc

  • Internal Medicine Physician
  • Stuart, FL
  • NPI 1447764840

  Single Specialty

  Medicare reassignment Care Compare group NPD
• TMG Medical Management

  • Family Nurse Practitioner
  • Port St Lucie, FL
  • NPI 1013544063

  Single Specialty

  Medicare reassignment NPD Authorized official
• Balanced Wellbeing LLC

  • Psychiatry Physician
  • Ocala, FL
  • NPI 1336513639

  Single Specialty

  Medicare reassignment NPD
• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000

  Single Specialty

  Medicare reassignment NPD
• National Kidney Partners, LLP

  dba Florida Kidney & Hypertension Clinic

  • Nephrology Physician
  • Hudson, FL
  • NPI 1780684795

  Single Specialty

  Medicare reassignment NPD
• Patel Medical Consulting, LLC

  • Family Medicine Physician
  • Palm City, FL
  • NPI 1750887584

  Single Specialty

  Medicare reassignment NPD
• Samerah Razuman MD PLLC

  dba Kidney Care f the Treasure Coast

  • Nephrology Physician
  • Fort Pierce, FL
  • NPI 1750803888

  Single Specialty

  Medicare reassignment NPD
• MCR Health, Inc.

  dba Riverside Medical Center

  • Non-Pharmacy Dispensing Site
  • Bradenton, FL
  • NPI 1821878745
  NPD
• Rebecca a Prostko MD PA

  dba Martin Downs Medical Center

  • Specialist
  • Palm City, FL
  • NPI 1194824052

  Single Specialty

  NPD

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1619489473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 NW LEONARDO CIR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349864354",
            "telephone_number": "954-448-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 NW LEONARDO CIR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349864354",
            "telephone_number": "954-448-3913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 N 12th Ave Bldg B",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "342668752",
            "country_code": "US",
            "telephone_number": "863-494-1242",
            "fax_number": "863-999-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRISHAM",
        "first_name": "TAMMY",
        "middle_name": "M",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9203521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norris Griffin Jr.
• Pettina R Griffin, RBT
• Lisa D Griffith, RD
• Shenetta Griffith, RN
• Onvia Y Grimsley, CNA
• Richard Grossman, BA
• Kristin Hedden Grunbaum, A.R.N.P.
• Nadine Grundstrom, RN
• Matthew John Gudeman, DC
• Evelyn Guerra Garcia

• Family Nurse Practitioner in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.