Kendra Grissom, NP
NPI 1487190112 · Pediatric Nurse Practitioner · Lexington, TN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kendra Grissom, NP is a Pediatric Nurse Practitioner provider in Lexington, TN (NPI 1487190112).
Provider details
- NPI number
- 1487190112
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 22181 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
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
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 19 Security DrJackson, TN 38305-3626Phone: (731) 664-9040Fax: (731) 664-9041
Registry dates
- Enumerated
- 2017-01-19
- Last updated
- 2022-07-21
Frequently asked questions
- What is Kendra Grissom's NPI number?
- Kendra Grissom's National Provider Identifier (NPI) is 1487190112, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kendra Grissom's specialty?
- Kendra Grissom is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kendra Grissom located?
- Kendra Grissom's practice location on file with NPPES is 10777 Highway 412 W, Lexington, TN 38351-6283.
- What is Kendra Grissom's phone number?
- The practice phone number listed in the NPPES registry for Kendra Grissom is (731) 968-5558.
- Does Kendra Grissom accept Medicare?
- Kendra Grissom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kendra Grissom's NPI active?
- Yes — Kendra Grissom's NPI (1487190112) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.