Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alisha Grenade, PMHNP-BC

Individual provider Registered Nurse · NPI 1356615447

Alisha Grenade, PMHNP-BC is a Nurse Practitioner in Queens Village, New York. Qualified in 2020, 6 years ago. Practices with Kings Physician Services PC, a 645-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2012
Specialties on file
3
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

21240 112th Rd
Queens Village, NY 11429-2314
Phone: (917) 705-1426
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 403360 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 649732 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F342593-1 (NY)

Record details

NPI number1356615447
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedMarch 7, 2012
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Kings Physician Services Pc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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