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TISHA GRISSOM
NPI 1215464862
Licensed Practical Nurse in Brooklyn, NY

Active since May 15, 2017
494 DUMONT AVE, BROOKLYN, NY 11207(718) 260-2920 Get Directions Write a Review

NPPES record last updated: May 15, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tisha Grissom NPPES

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

TISHA GRISSOM (NPI 1215464862) is an individual licensed practical nurse in Brooklyn, New York, licensed in New York (262906) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1215464862
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTISHA GRISSOM
Location Address494 DUMONT AVEBrooklyn, NY 11207-5017
Mailing Address22 Chapel StBrooklyn, NY 11201-1903
Phone(718) 260-2920
Sole ProprietorNo
Enumeration DateMay 15, 2017
✔ NPI 1215464862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 262906
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
494 DUMONT AVE, Brooklyn, NY 11207
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Other Providers at the Same Location NPPES 20

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

MS. CYDNEY TAYLOR RPA-C
Physician Assistant
494 DUMONT AVE
BROOKLYN, NY 11207
Kings County (718) 345-4264
CARMEN RANGER
Counselor
494 DUMONT AVE
BROOKLYN, NY 11207
Kings County (718) 260-2920
CAROLINE SANTIAGO VELAZQUEZ LPN
Licensed Practical Nurse
494 DUMONT AVE
BROOKLYN, NY 11207
Kings County (718) 385-4000
CASANDRA MUNGO
Social Worker
494 DUMONT AVE
BROOKLYN, NY 11207
Kings County (718) 385-4000
JESUS HERNANDEZ
Counselor (Addiction (Substance Use Disorder))
494 DUMONT AVE
BROOKLYN, NY 11207
Kings County (732) 401-5987
YVETTE CUMBERBATCH RN
Registered Nurse
494 DUMONT AVE
BROOKLYN, NY 11207
Kings County (718) 385-4000
CHERYLE CAMPBELL LPN
Licensed Practical Nurse
494 DUMONT AVE
BROOKLYN, NY 11207
Kings County (718) 385-4000
PAULETTE PALMER
Licensed Practical Nurse
494 DUMONT AVE
BROOKLYN, NY 11207
Kings County (718) 345-4264

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tisha Grissom's NPI number?

The NPI number for Tisha Grissom is 1215464862. It was assigned to this individual provider in the NPPES registry on May 15, 2017.

Where is Tisha Grissom located?

Tisha Grissom practices at 494 Dumont Ave, Brooklyn, NY 11207. The listed phone number is (718) 260-2920.

What is Tisha Grissom's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Tisha Grissom was last updated on May 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.