CRYSTAL J GRAY (NPI# 1053739276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053739276 |
| Entity Type | Individual |
| Full Name | CRYSTAL J GRAY |
| Credential | LPN |
| Practice Address |
3427 W Villard Ave Apt 307 Milwaukee WI 53209-4700 |
| Practice Telephone | 4143885340 |
| Mailing Telephone | 4143885340 |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 32603-031 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902815541 | Crystal T Gray | Counselor | 1111 Wayne Rd Nw, Suite 6, Huntsville, AL 35806-3567 | 2006-08-05 |
| 1639637978 | Crystal Gray | Case Manager/Care Coordinator | 115 Fort St, Barling, AR 72923-2646 | 2019-03-06 |
| 1578062576 | Crystal Ann Gray | Case Manager/Care Coordinator | 259 Bill France Blvd Ste 200, Daytona Beach, FL 32114-1316 | 2018-02-05 |
| 1083156582 | Crystal Gray I | Counselor | 8401 Medical Plaza Dr, Suite 355, Charlotte, NC 28262-8797 | 2016-11-15 |
| 1609320589 | Crystal A Gray | Chiropractor | 1710 W 3rd St, Bloomington, IN 47404-5028 | 2016-08-09 |
| 1134372683 | Crystal Gray | Psychologist | 5105 200th St Sw, Suite 100, Lynnwood, WA 98036-6397 | 2008-10-28 |
| Street Address |
3427 W VILLARD AVE APT 307 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53209-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Find all providers in zip 53209 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285259325 | Francia B Williams | Licensed Practical Nurse | 1536 W Groeling Ave, Milwaukee, WI 53206-2228 | 2020-06-15 |
| 1073136032 | Melissa Cortnie Locascio | Licensed Practical Nurse | 2786 N 68th St, Milwaukee, WI 53210-1203 | 2020-05-26 |
| 1831719137 | Kate Jodurff Mitchell | Licensed Practical Nurse | 10900 W Bluemound Rd Apt 107, Milwaukee, WI 53226-4145 | 2020-04-16 |
| 1467071324 | Crystal S Ballard | Licensed Practical Nurse | 6943 W Florist Ave, Milwaukee, WI 53218-1842 | 2020-04-10 |
| 1093377046 | Axia Antoine | Licensed Practical Nurse | 2609 N 37th St, Milwaukee, WI 53210-2528 | 2019-06-30 |
| 1740842814 | Ruth Babbs | Licensed Practical Nurse | 2944 N 37th St, Milwaukee, WI 53210-1801 | 2019-06-28 |
| 1588128789 | Antoinette Williams | Licensed Practical Nurse | 5151 N 27th St Apt 2, Milwaukee, WI 53209-5551 | 2019-01-22 |
| 1801369111 | Latasha Jackson | Licensed Practical Nurse | 4573 N 22nd St, Milwaukee, WI 53209-6309 | 2019-01-09 |
| 1043785900 | Philomena O Ekwueme | Licensed Practical Nurse | 4509 N 76th St Apt 1, Milwaukee, WI 53218-5343 | 2018-10-08 |
| 1679053284 | Aminah Shanell Abdikadir | Licensed Practical Nurse | 6682 N 51st St, Milwaukee, WI 53223-6035 | 2018-08-14 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.