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