ALLYSON RAE GRAY (NPI# 1063669687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063669687 |
Entity Type | Individual |
Full Name | ALLYSON RAE GRAY |
Credential | LPN |
Practice Address |
301 Elm Ave Sw Roanoke VA 24016-4001 |
Practice Telephone | 5403459841 |
Practice Fax Number | 5405278900 |
Mailing Telephone | 5403459841 |
Mailing Fax Number | 5405278900 |
Enumeration Date | 2008-08-26 |
Last Update Date | 2008-08-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164W00000X | Licensed Practical Nurse | 0002051197 | VA | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 1437137734 | 05 |
Street Address |
301 ELM AVE SW |
City | ROANOKE |
State | VA |
Zip Code | 24016-4001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437137734 | Blue Ridge Behavioral Healthcare | Clinic/Center | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2006-01-06 |
1508497512 | Elizabeth Ann Connolly | Social Worker | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2020-01-29 |
1083012363 | Latonya Bolden Bolden | Social Worker | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2014-12-18 |
1114340338 | Suzanne Marie Rea | Counselor | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2014-01-23 |
1124207568 | Susan N Newton | Counselor | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2007-11-02 |
1790861946 | Blue Ridge Behavioral Healthcare | Substance Abuse Rehabilitation Facility | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2006-10-31 |
1265530745 | Barbara Dawn Fulcher | Nurse Practitioner | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2006-09-20 |
1821004938 | Joan Reilly Landolt | Counselor | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2006-07-31 |
1952348773 | Kristi Renee Cales | Counselor | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2006-06-01 |
1871562439 | Gina Bevins Wilburn | Counselor | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2006-03-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
1801305818 | Rena Lee Daye | Driver | 10 12th St. Sw, Roanoke, VA 24016 | 2017-09-21 |
1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
1235685884 | Helen Franck | Physical Therapist | 650 North Jefferson Street, Roanoke, VA 24016 | 2016-09-01 |
1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
1982073292 | Sophie Mench Tranmer | Physical Therapist | 1421 Third St. Sw, Roanoke, VA 24016 | 2015-09-16 |
1982008181 | National Counseling Group, Inc | Psychiatry & Neurology | 20 Walnut Avenue, Roanoke, VA 24016 | 2014-10-17 |
1366858342 | National Counseling Group, Inc | Psychiatry & Neurology | 16 Walnut Avenue, Roanoke, VA 24016 | 2014-07-10 |
1427320878 | Kristen L. Jagger | Physical Medicine & Rehabilitation | 1015 First Street Sw Suite 2, Roanoke, VA 24016 | 2012-02-01 |
Find all providers in zip 24016 |
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. |
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1942732607 | Portia Wofford | Licensed Practical Nurse | 227 Peachtree St Apt 1, Roanoke, AL 36274-7414 | 2017-03-31 |
1427510213 | Angela D Lauridsen | Licensed Practical Nurse | 4800 Pleasant Hill Dr Ste 102, Roanoke, VA 24018-3406 | 2019-04-02 |
1003169798 | Victoria Robinson | Licensed Practical Nurse | 1527 Grandin Rd Sw, Roanoke, VA 24015-2305 | 2012-10-18 |
1467678193 | Elizabeth Anne Hutchens | Licensed Practical Nurse | 16 Walnut Ave Sw, Roanoke, VA 24016-4719 | 2007-04-18 |
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1841800471 | Zainab Jalloh | Licensed Practical Nurse | 1384 Old Bridge Rd Ste 200-b, Woodbridge, VA 22192-2769 | 2020-08-07 |
1528678919 | Unique Health Services | Licensed Practical Nurse | 13945 Hollow Wind Way Unit 101, Woodbridge, VA 22191-6057 | 2020-07-31 |
1407465180 | There's No Place Like Home Health Agency | Licensed Practical Nurse | 7274 Hanover Green Dr., Mechanicsville, VA 23111-1797 | 2020-07-28 |
1821616723 | Sherita Johnson | Licensed Practical Nurse | 3411 Castlebury Dr, Chester, VA 23831-1860 | 2020-07-08 |
1639790462 | Bandetra Oglesby-confron | Licensed Practical Nurse | 300 Continental Pkwy Apt 302, Newport News, VA 23602-4542 | 2020-05-04 |
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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.