Heather Merchelle Grissom, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-314502

Practice address

7108 Whitney Rd
Graham, NC 27253-8112

Phone

(828) 545-9557

NPI assigned

Jul 31, 2024

Last updated

Jul 31, 2024By the provider in NPPES

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": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1942039573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 WHITNEY RD",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272538112",
            "telephone_number": "828-545-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 WHITNEY RD",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272538112",
            "telephone_number": "828-545-9557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Moores Chapel Cemetery Rd",
            "address_purpose": "LOCATION",
            "city": "Graham",
            "state": "NC",
            "postal_code": "272539199",
            "country_code": "US",
            "telephone_number": "828-545-9557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRISSOM",
        "first_name": "HEATHER",
        "middle_name": "MERCHELLE",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-314502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graham Mobile Urgent Care PC
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• Graves Family Care
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• Kimberly Harrington
• Madelyn Harvey
• Richard Henry Hatch, OD
• James Hubert Hawkins Jr., MD

• Lactation Consultant (Non-RN) in Graham, NC
• Providers in Graham, NC by specialty
• Lactation Consultant (Non-RN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.