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TAJE-RAE LYNNEA MARIE GRISSOM
NPI 1598636631
Technician - Personal Care Attendant in Las Vegas, NV

Active since September 12, 2025
400 S 4TH ST STE 500, LAS VEGAS, NV 89101(702) 703-6386(702) 703-6386 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Taje-rae Lynnea Marie Grissom NPPES

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

TAJE-RAE LYNNEA MARIE GRISSOM (NPI 1598636631) is an individual personal care attendant in Las Vegas, Nevada and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1598636631
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameTAJE-RAE LYNNEA MARIE GRISSOM
Location Address400 S 4TH ST STE 500Las Vegas, NV 89101-6207
Mailing Address400 S 4th St Ste 500Las Vegas, NV 89101-6207 · (702) 703-6386 · Fax (702) 703-6386
Phone(702) 703-6386
Fax(702) 703-6386
Sole ProprietorNo
Enumeration DateSeptember 12, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedSeptember 12, 2025
✔ NPI 1598636631 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
400 S 4TH ST STE 500, Las Vegas, NV 89101
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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.

AZIAH STEWART
Technician (Personal Care Attendant)
400 S 4TH ST STE 500
LAS VEGAS, NV 89101
Clark County (702) 765-0983
LANDON FRANCIS
Technician (Personal Care Attendant)
400 S 4TH ST STE 500
LAS VEGAS, NV 89101
Clark County (702) 765-0983
REYNA DANIELLE CANO
Behavior Analyst
400 S 4TH ST STE 500
LAS VEGAS, NV 89101
Clark County (818) 345-2345
RONALDO SHAW
Technician (Personal Care Attendant)
400 S 4TH ST STE 500
LAS VEGAS, NV 89101
Clark County (702) 703-6386
JENNIFER LEE MULLIN
Technician (Personal Care Attendant)
400 S 4TH ST STE 500
LAS VEGAS, NV 89101
Clark County (702) 703-6386
JAMES ALEXANDER
Technician (Personal Care Attendant)
400 S 4TH ST STE 500
LAS VEGAS, NV 89101
Clark County (702) 765-0983
JUSTIN ALZONA-ROSAROSO
Technician (Personal Care Attendant)
400 S 4TH ST STE 500
LAS VEGAS, NV 89101
Clark County (702) 357-8317
JENNIFER MARIE WALDOW
Technician (Personal Care Attendant)
400 S 4TH ST STE 500
LAS VEGAS, NV 89101
Clark County (702) 703-6386

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 Taje-rae Grissom's NPI number?

The NPI number for Taje-rae Grissom is 1598636631. It was assigned to this individual provider in the NPPES registry on September 12, 2025.

Where is Taje-rae Grissom located?

Taje-rae Grissom practices at 400 S 4th St Ste 500, Las Vegas, NV 89101. The listed phone number is (702) 703-6386.

What is Taje-rae 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 Taje-rae Grissom was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.