Lauren Grissom

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

83120 Issued in TN

Practice address

254 Tiger Dr
Smithville, TN 37166-6812

Phone

(615) 597-7590

NPI assigned

Apr 17, 2017

Last updated

Apr 17, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1760916720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 GREENWOOD DR",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371663139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 TIGER DR",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371666812",
            "telephone_number": "615-597-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISSOM",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "83120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allie Gipson, OTR/L
• Telitha Donet Glasscock, D.O.
• Krista Goff, APN
• Amber Ann Golden, RN
• Good Health Family Clinic, Inc
• Madelyn Hale, RN
• Haven Home Medical Group LLC
• Haven Home Medical Group PLLC
• Haven of Hope of Dekalb County, Inc. (Haven of Hope Counseling)
• Alexander Hayes, DDS

• Licensed Practical Nurse in Smithville, TN
• Providers in Smithville, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.