Veronica L Grissom

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-26063 Issued in TN

Practice address

506 Raymond St
Nashville, TN 37211-2832

Phone

(914) 261-2908

NPI assigned

Oct 31, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1770095671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 RAYMOND ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372112832",
            "telephone_number": "914-261-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 RAYMOND ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372112832",
            "telephone_number": "914-261-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISSOM",
        "first_name": "VERONICA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1-17-26063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Ann Grisanti, LCSW
• James Thomas Griscom III, MD
• Samantha Nicole Grishaber, OTR/L, OTD
• Bailey Grisham
• Alexandra Grissim
• Angelica Rose Grist, PA-C
• Katie Griswold, A.P.N.
• Ashely Grizzard
• Mary A Grizzard, FNP-C
• Niketa Ann Grizzard, LPC-MHSP

• Behavior Analyst in Nashville, TN
• Providers in Nashville, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.