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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ICISS MARIE GRISSOM
NPI 1891692737
Case Manager/Care Coordinator in Bixby, OK

Active since October 23, 2026
11515 S PAR AVE APT 101, BIXBY, OK 74008(918) 508-8084 Get Directions Write a Review

NPPES record added: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Iciss Marie Grissom NPPES

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

ICISS MARIE GRISSOM (NPI 1891692737) is an individual case manager/care coordinator provider in Bixby, Oklahoma and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1891692737
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameICISS MARIE GRISSOM
Location Address11515 S PAR AVE APT 101Bixby, OK 74008-5078
Mailing Address11515 S Par Ave Apt 101Bixby, OK 74008-5078 · (918) 508-8084
Phone(918) 508-8084
Sole ProprietorYes
Enumeration DateOctober 23, 2026
NPPES CertifiedOctober 23, 2026
✔ NPI 1891692737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
11515 S PAR AVE APT 101, Bixby, OK 74008
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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 Iciss Grissom's NPI number?

The NPI number for Iciss Grissom is 1891692737. It was assigned to this individual provider in the NPPES registry on October 23, 2026.

Where is Iciss Grissom located?

Iciss Grissom practices at 11515 S Par Ave Apt 101, Bixby, OK 74008. The listed phone number is (918) 508-8084.

What is Iciss Grissom's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Iciss Grissom was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.