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Deactivated NPI 1619753753 Deactivated / Inactive NPI Male Practitioner

Lascelle Clarence Grizzle , REGISTERED NURSE

Nurse Practitioner • Seattle, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lascelle Grizzle has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 05, 2023
NPI Deactivation Date April 10, 2024
Total Practice Duration ~1 Years of Practice (2023 – 2024)

Professional Overview & Biography Verified Profile Summary

Lascelle Grizzle, REGISTERED NURSE was a registered Nurse Practitioner practicing in Seattle, WA. Throughout an active medical career spanning 1 years, Lascelle Grizzle provided care at the practice location at 1959 NE PACIFIC STREET until profile deactivation on 2024-04-10.

Practice Location & Contact Primary Location

Practice Address

1959 Ne Pacific Street
T-301

Seattle, WA 981957263

Telephone 2532870670
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
574 Specialists

Practicing in Seattle, WA (2339 Statewide)

Telehealth Adoption Rate
28.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-06
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA ARNP.AP.70143005-NP

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sarah Church , RN

Registered Nurse

NPI 1003423443

Registered Nurse

NPI 1003769530
Dr. Tiara Dillworth , PhD

Psychologist - Rehabilitation

NPI 1063841641

Doctor of Philosophy (Ph.D.)

Dr. Julianna Sabo , MD

Internal Medicine - Rheumatology

NPI 1063933281

Doctor of Medicine (M.D.)

Aaron Nguyen

Student in an Organized Health Care Education/Training Program

NPI 1083397053
Dr. Kimberly Lu , MD

Internal Medicine - Pulmonary Disease

NPI 1093370660

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2026

Nurse Practitioner (License #ARNP.AP.70143005-NP in WA)

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Updated Practice Location November 05, 2025

Registered at 1959 NE PACIFIC STREET, T-301, SEATTLE, WA 981957263 (Tel: 2532870670)

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Updated Business Mailing Address November 05, 2025

Registered at 1959 NE PACIFIC STREET, T-301, SEATTLE, WA 981957263 (Tel: 2532870670)

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Provider Name / Credentials Updated November 05, 2025

Recorded as LASCELLE GRIZZLE, REGISTERED NURSE

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2025

Student in an Organized Health Care Education/Training Program (License #RN61057523 in WA)

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NPI Profile Deactivated April 10, 2024

Record deactivated on April 10, 2024

NPI Profile Active September 05, 2023

NPI status registered as active in NPPES database

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Updated Practice Location September 05, 2023

Registered at 1959 NE PACIFIC STREET, T-301, SEATTLE, WA 981957263 (Tel: 2532870670)

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Updated Business Mailing Address September 05, 2023

Registered at 1959 NE PACIFIC STREET, T-301, SEATTLE, WA 981957263 (Tel: 2532870670)

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Provider Name / Credentials Updated September 05, 2023

Recorded as LASCELLE GRIZZLE, REGISTERED NURSE

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2023

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration September 05, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619753753
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 05, 2023
Last Update: July 06, 2026
Deactivation Date: April 10, 2024
Sole Proprietor: Yes

Mailing Address

1959 Ne Pacific Street, T-301

Seattle, WA 981957263

Phone: 2532870670

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.