IndividualActive
Tisha Grissom
NPI 1215464862 · Licensed Practical Nurse · Brooklyn, NY
Tisha Grissom is a Licensed Practical Nurse provider in Brooklyn, NY (NPI 1215464862).
Provider details
- NPI number
- 1215464862
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 262906 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
494 Dumont Ave
Brooklyn, NY 11207-5017
Phone: (718) 260-2920
Street-level locationGet directions
Mailing address
22 Chapel St
Brooklyn, NY 11201-1903
Registry dates
- Enumerated
- 2017-05-15
- Last updated
- 2017-05-15
Frequently asked questions
- What is Tisha Grissom's NPI number?
- Tisha Grissom's National Provider Identifier (NPI) is 1215464862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tisha Grissom's specialty?
- Tisha Grissom is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Tisha Grissom located?
- Tisha Grissom's practice location on file with NPPES is 494 Dumont Ave, Brooklyn, NY 11207-5017.
- What is Tisha Grissom's phone number?
- The practice phone number listed in the NPPES registry for Tisha Grissom is (718) 260-2920.
- Is Tisha Grissom's NPI active?
- Yes — Tisha Grissom's NPI (1215464862) is active in the NPPES registry as of the last update on 2017-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.