Individual provider Active NPI

Ciarra Grigsby

  • Family Nurse Practitioner
  • Terre Haute, IN
National Provider Identifier
1669221016
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28245013A Issued in IN
Practice address
4001 Wabash Ave
Terre Haute, IN 47803-1678
Phone
(812) 238-7788
NPI assigned
May 17, 2024
Last updated
Oct 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28245013A IN Primary
General Practice Registered Nurse 163WG0000X 28245013A IN

Addresses

Primary practice location

4001 Wabash Ave
Terre Haute, IN 47803-1678

Mailing address

4001 Wabash Ave
Terre Haute, IN 47803-1678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20250515001578 IN Practitioner - Nurse Practitioner 6103344999 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28245013AINMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Union Associated Physicians Clinic LLC CurrentSince Apr 21, 2025 Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince Apr 21, 2025 Accepting new patients
Center for Occupational Health Past Accepting new patients

Locations

1 St Mary of Woods Coll
Saint Mary of the Woods, IN 47876

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3115

5500 Wabash Ave
Terre Haute, IN 47803
Phone (812) 877-8367

567 N 5th St
Terre Haute, IN 47809
Phone (812) 237-3632

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1669221016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 WABASH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478031678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 WABASH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478031678",
            "telephone_number": "812-238-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGSBY",
        "first_name": "CIARRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-17",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28245013A",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IN",
            "license": "28245013A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.