Active NPI
Lascelle Clarence Grizzle, REGISTERED NURSE
- Nurse Practitioner
- Seattle, WA
National Provider Identifier
1619753753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP.AP.70143005-NP
- Practice address
- 1959 NE Pacific Street
T-301
Seattle, WA 98195-7263 - Phone
- (253) 287-0670
- NPI assigned
- Sep 5, 2023
- Reactivated
- Nov 5, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP.AP.70143005-NP | WA | Primary |
Addresses
Primary practice location
1959 NE Pacific Street
T-301
Seattle, WA 98195-7263
Mailing address
1959 NE Pacific Street
T-301
Seattle, WA 98195-7263
Phone (253) 287-0670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN61057523 | WA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1619753753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC STREET",
"address_2": "T-301",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981957263",
"telephone_number": "253-287-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC STREET",
"address_2": "T-301",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981957263",
"telephone_number": "253-287-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIZZLE",
"first_name": "LASCELLE",
"middle_name": "CLARENCE",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-05",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"deactivation_date": "2024-04-10",
"reactivation_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "ARNP.AP.70143005-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.