SAMANTHA M GRAY (NPI# 1124370010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124370010 |
| Entity Type | Individual |
| Full Name | SAMANTHA M GRAY |
| Credential | FNP |
| Practice Address |
2600 Glasgow Ave Suite 124 Newark DE 19702-4773 |
| Mailing Address |
405 Silverside Rd Suite 111 Wilmington DE 19809-1774 |
| Practice Telephone | 3028364200 |
| Practice Fax Number | 3028368431 |
| Mailing Telephone | 3027980666 |
| Mailing Fax Number | 3027982401 |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2019-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
LG-0000634 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376059642 | Samantha Denise Gray | Behavior Technician | 3856 W Anthony Rd, Ocala, FL 34475 | 2017-12-21 |
| 1255791141 | Samantha Gray | Nurse Practitioner | 128 Hedgelawn Dr, Hendersonville, TN 37075-4550 | 2016-03-04 |
| 1740605872 | Samantha Gray | Occupational Therapist | 46 Flipper Ave, Manahawkin, NJ 08050-1829 | 2014-02-26 |
| 1215534581 | Samantha Gray | Counselor | 1709 Bragaw St, Anchorage, AK 99508-3436 | 2020-10-08 |
| 1851900880 | Samantha Joann Gray | Behavior Technician | 1140 Kyle Wood Ln, Brandon, FL 33511-4850 | 2020-07-27 |
| 1699397224 | Samantha Gray | Counselor | 4511 Harlem Rd, Snyder, NY 14226-3803 | 2020-05-18 |
| 1699261784 | Samantha Gray | Social Worker | 4488 Roslin Rd, Newburgh, IN 47630-8590 | 2018-07-02 |
| 1992235634 | Samantha Marie Gray | Dentist | 3503 Youree Dr, Shreveport, LA 71105-2119 | 2017-06-15 |
| 1518497528 | Samantha Paige Gray | Physician Assistant | 1965 S Fremont Ave Ste 230, Springfield, MO 65804-2258 | 2017-06-13 |
| 1669853180 | Samantha A Gray | Case Manager/Care Coordinator | 3125 Myers St, Riverside, CA 92503-5527 | 2015-06-10 |
| Street Address |
2600 GLASGOW AVE SUITE 124 |
| City | NEWARK |
| State | DE |
| Zip Code | 19702-4773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657102 | Christopher A Bowens | Internal Medicine | 2600 Glasgow Ave, Suite 108, Newark, DE 19702 | 2005-05-27 |
| 1710445226 | Morgan Lynn Barnhart | Specialist/Technologist | 2600 Glasgow Ave, Newark, DE 19702-4773 | 2019-03-05 |
| 1306263199 | Lisa Ann Shotyk | Nurse Practitioner | 2600 Glasgow Ave, Newark, DE 19702-4773 | 2014-03-18 |
| 1740529577 | Fataneh M Ziari, Md, Pa | Pediatrics | 2600 Glasgow Ave, Suite 212, Newark, DE 19702-4773 | 2013-02-14 |
| 1164786687 | Craig Smucker, Md Orthopaedics, PC | Orthopaedic Surgery | 2600 Glasgow Ave, Suite 106, Newark, DE 19702-4773 | 2012-06-29 |
| 1851651855 | Matthew Michael Byrne | Physical Therapist | 2600 Glasgow Ave, Suite 105, Newark, DE 19702-4773 | 2012-05-23 |
| 1265705719 | Ati Holdings, LLC | Durable Medical Equipment & Medical Supplies | 2600 Glasgow Ave, Suite 105, Newark, DE 19702-4773 | 2012-02-14 |
| 1447559992 | Brandywine Eye Center Pa | Eyewear Supplier (Equipment, not the service) | 2600 Glasgow Ave, Suite 206, Newark, DE 19702-4773 | 2011-03-23 |
| 1023250024 | Clinical Cardiology Specialists, LLC | Specialist | 2600 Glasgow Ave, Suite 108, Newark, DE 19702-4773 | 2009-04-06 |
| 1811133341 | Premier Pediatrics, LLC | Pediatrics | 2600 Glasgow Ave, Suite 213, Newark, DE 19702-4773 | 2009-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407467814 | Leilanie Redondiez | Physical Therapist | 110 Blue Ridge Circle, Newark, DE 19702 | 2020-08-11 |
| 1285118679 | A Center for Mental Wellness Community Support Programs, LLC | Substance Abuse Rehabilitation Facility | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-09-20 |
| 1124510854 | Shena Williams | Counselor | 1423 Capital Trail Rd, Newark, DE 19702 | 2018-05-30 |
| 1437664737 | Excellence Home Care LLC | Home Health | 122 Delaware Street, New Castle, DE 19702 | 2017-12-08 |
| 1710496773 | Kirt Leigh Randolph | Physical Therapy Assistant | 229 Barrett Run Place, Newark, DE 19702 | 2017-09-21 |
| 1871014399 | Edeline Elicin | Marriage & Family Therapist | 260 Chapman Road, Suite 100-b, Newark, DE 19702 | 2017-07-06 |
| 1831646454 | Rickia Izetta Spivey-kennedy | Counselor | 36 Avignon Drive, Newark, DE 19702 | 2016-09-01 |
| 1134585748 | Thomas Wolters | Pharmacist | 248 Chaoman Road, Newark, DE 19702 | 2016-01-12 |
| 1851700686 | Candice Roberts | Nurse Practitioner | 100 Biddle Ave Ste 101, Newark, DE 19702 | 2014-08-06 |
| 1316367428 | Evyline Chioma | Occupational Therapist | 25 Buttonwood Ct., Newark, DELAWARE 19702 | 2014-04-16 |
| Find all providers in zip 19702 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647892 | Katlyn Brewington | Nurse Practitioner | 1233b Churchmans Rd, Newark, DE 19713-2149 | 2020-10-25 |
| 1851990600 | Brandy Baker | Nurse Practitioner | 494 Yorkshire Dr, Newark, OH 43055-1522 | 2020-10-22 |
| 1508464397 | Abimbola Otufale | Nurse Practitioner | 252b Camden St, Newark, NJ 07103-2434 | 2020-10-13 |
| 1033755608 | Christine Nophut | Nurse Practitioner | 17 Polly Drummond Shpg Ctr, Newark, DE 19711-4820 | 2019-11-19 |
| 1215578091 | Lucy Ogechi Efobi | Nurse Practitioner | 194 Clinton Ave Lowr Level, Newark, NJ 07108-2809 | 2019-10-03 |
| 1518518323 | Jasmine Barksdale | Nurse Practitioner | 4110 Ogletown Stanton Rd, Newark, DE 19713-4169 | 2019-09-23 |
| 1467013136 | Getrude Tate Nguatem | Nurse Practitioner | Churchman Vlg, Newark, DE 19713-2068 | 2019-06-24 |
| 1285298679 | Olufolake Remi Adepoju | Nurse Practitioner | 258 Chapman Rd, Newark, DE 19702-5445 | 2019-05-01 |
| 1285100420 | Vida Araba Paintsil | Nurse Practitioner | University Hospital- Nursing Office, 90 Bergen Street, Newark, NJ 07102-0710 | 2018-10-15 |
| 1992291280 | Palak Praful Desai | Nurse Practitioner | 1 Chestnut Hill Plz, Newark, DE 19713-2701 | 2018-07-10 |
| Find all providers in NEWARK | ||||
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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.