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

Katy Grismore, CPNP

Individual provider Pediatric Nurse Practitioner · NPI 1740646520

Katy Grismore, CPNP is a Pediatric Nurse Practitioner in Mooresville, Indiana. Licensed in Indiana. Registered with an NPI since 2016.

Licensed in
IN
In the registry since
2016
Specialties on file
2
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

See every abbreviation used in this directory →

Practice location Address checks out

1001 Hadley Rd Ste LL050
Mooresville, IN 46158-1883
Phone: (317) 834-3502
Fax: (317) 834-3519
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71006027A (IN)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 28197474A (IN)

Record details

NPI number1740646520
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP
Sole proprietorNo
NPI enumeratedJanuary 8, 2016
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023
Mailing addressPo Box 781076, Detroit, MI 48278-1076