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MRS. KIMBERLY JEAN GRISSOM NA
NPI 1366760035
Technician - Personal Care Attendant in Placerville, CA

Active since May 05, 2010
2788 KENNETH CT, PLACERVILLE, CA 95667(530) 622-2113 Get Directions Write a Review

NPPES record last updated: May 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kimberly Jean Grissom Na NPPES

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

MRS. KIMBERLY JEAN GRISSOM NA (NPI 1366760035) is an individual personal care attendant in Placerville, California and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1366760035
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameMRS. KIMBERLY JEAN GRISSOMCredential: NA
Location Address2788 KENNETH CTPlacerville, CA 95667-4814
Mailing Address2788 Kenneth CtPlacerville, CA 95667-4814 · (530) 622-2113
Phone(530) 622-2113
Sole ProprietorYes
Enumeration DateMay 5, 2010
✔ NPI 1366760035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
2788 KENNETH CT, Placerville, CA 95667
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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 Kimberly Grissom's NPI number?

The NPI number for Kimberly Grissom is 1366760035. It was assigned to this individual provider in the NPPES registry on May 5, 2010.

Where is Kimberly Grissom located?

Kimberly Grissom practices at 2788 Kenneth Ct, Placerville, CA 95667. The listed phone number is (530) 622-2113.

What is Kimberly Grissom's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Kimberly Grissom was last updated on May 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.