JOHANNA MARIE GRASSHAM RN, CDE, BC-ADM, CNP
NPI 1033474580
Nurse Practitioner in Albuquerque, NM

Q: What is Johanna Grassham's NPI number?

The NPI number for Johanna Grassham is 1033474580. It was assigned to this individual provider in the NPPES registry on July 11, 2012.

Q: What is Johanna Grassham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Johanna Grassham was last updated on July 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 11, 2012

1515 EUBANK BLVD SE BLDG 832, ALBUQUERQUE, NM 87123(505) 844-4237 Get Directions Write a Review

NPPES record last updated: July 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Johanna Marie Grassham Rn, Cde, Bc-adm, Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHANNA MARIE GRASSHAM RN, CDE, BC-ADM, CNP (NPI 1033474580) is an individual nurse practitioner in Albuquerque, New Mexico, licensed in New Mexico (56889) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1033474580

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJOHANNA MARIE GRASSHAMCredential: RN, CDE, BC-ADM, CNP

Location Address1515 EUBANK BLVD SE BLDG 832Albuquerque, NM 87123-3453

Mailing Address1515 Eubank Blvd Se Bldg 832Albuquerque, NM 87123-3453 · (505) 844-4237

Phone(505) 844-4237

Sole ProprietorNo

Enumeration DateJuly 11, 2012

Last NPPES UpdateJuly 11, 2019

✔ NPI 1033474580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NM · 56889

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License R49987 (NM)

Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X · License 2091-0361 (NM)

1515 EUBANK BLVD SE BLDG 832, Albuquerque, NM 87123

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DEBRA JAYNE MENKE HEALTH EDUCATOR

Case Manager/Care Coordinator