Nurse Practitioner
KATY GRISMORE CPNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1740646520 · enumerated 2016-01-08 · record updated 2023-07-31. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1001 HADLEY RD STE LL050, MOORESVILLE, IN, 46158-1883 (317) 834-3502 Fax (317) 834-3519 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 781076, DETROIT, MI, 48278-1076 (317) 528-4800 Fax (317) 865-1479 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · License 28197474A IN
- Nurse Practitioner 363L00000X · Primary · License 71006027A IN
In this directory
Locations and evidence
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Practice location
MOORESVILLE, IN, 461581883
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.