Linda Carol Grissom, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN040340 Issued in AZ

Practice address

3740 E Southern Ave
Suite 207
Mesa, AZ 85206-2567

Phone

(480) 325-0313

Fax

(480) 324-0631

NPI assigned

Sep 1, 2005

Sex

Female

Sole proprietor

Yes

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

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.

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.

• Community Bridges, Inc.

  dba Central City Addiction Recovery Center

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1649426909
  NPD (past)
• Community Bridges, Inc.

  dba CCARC Crisis

  • Nursing Care Agency
  • Phoenix, AZ
  • NPI 1891288049
  NPD (past)
• Karnail S Dhillon MD LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1326221201
  NPD (past)
• National Council on Alcoholism Greater Phoenix Area

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1437195906
  NPD (past)
• Shosamana

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1942403076
  NPD (past)

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1710971072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 E SOUTHERN AVE",
            "address_2": "SUITE 207",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062567",
            "telephone_number": "480-325-0313",
            "fax_number": "480-324-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 E SOUTHERN AVE",
            "address_2": "SUITE 207",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062567",
            "telephone_number": "480-325-0313",
            "fax_number": "480-324-0631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3864 N 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850174703",
            "country_code": "US",
            "telephone_number": "602-685-6000",
            "fax_number": "602-212-6250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRISSOM",
        "first_name": "LINDA",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "RN040340",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP5963",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy L Grimsley
• Donald Lynn Griner, D.O.
• Jack W Grinnan, M.D.
• Jared M Grinney, PA-C
• Deborah R. Grischo, FNPC
• Denise Q Grobe, N.D.
• Heidi Gabrielle Grodman
• Nicholas Alan Gronhoy, COTA/L
• Dustin Duane Gross, D.C.
• David Jon Grossklaus, M.D.

• Adult Health Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.