MRS. BETHANY GRAY (NPI# 1215338496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215338496 |
| Entity Type | Individual |
| Full Name | MRS. BETHANY GRAY |
| Credential | LPN |
| Practice Address |
508 Riverside Dr Rome NY 13440-5420 |
| Practice Telephone | 3152719698 |
| Mailing Telephone | 3152719698 |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 10 316354 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952843799 | Bethany Gray | Physical Therapist | 1261 Military St S, Hamilton, AL 35570-5004 | 2016-11-10 |
| 1356645469 | Bethany Gray | Family Medicine | 10601 Walker St, Suite 250, Cypress, CA 90630-4733 | 2011-01-04 |
| Street Address |
508 RIVERSIDE DR |
| City | ROME |
| State | NY |
| Zip Code | 13440-5420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
| 1205452810 | Nichole Elizabeth Pollard | Optometrist | 1320 Floyd Ave, Suite 1, Rome, NY 13440 | 2020-06-19 |
| 1235750662 | Nicole Schrader | Social Worker | 7214 Bunal Blvd, Rome, NY 13440 | 2020-04-27 |
| 1457908212 | Darlene A. Sherman | Technician | 101 Glen Road S., Rome, NY 13440 | 2019-08-26 |
| 1841846847 | Delores A Smith | Technician | 7374 Davis Road, Rome, NY 13440 | 2019-08-15 |
| 1609342807 | Kent A Myers | Occupational Therapist | 200 West Dominic St, Rome, NY 13440 | 2018-10-16 |
| 1013376870 | Bonnie Flansburg | Physical Therapy Assistant | 101 W Liberty Street, Rome, NY 13440 | 2016-02-22 |
| 1760888689 | Ashley Elizabeth Bloomquist | Pharmacist | 808 West Chestnut Street, Rome, NY 13440 | 2014-11-05 |
| 1902231483 | Stephanie Ostalkiewicz | Licensed Practical Nurse | 701 Camp Street, Rome, NY 13440 | 2013-09-04 |
| 1992142251 | Tammy S. Guiliano | Registered Nurse | 401 Turin Street, The New York State School for The Deaf, Rome, NY 13440 | 2013-05-28 |
| Find all providers in zip 13440 | ||||
| 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 |
|---|---|---|---|---|
| 1558972588 | Starla Lynn Waddell | Licensed Practical Nurse | 675a Moran Lake Rd Ne, Rome, GA 30161-2106 | 2020-08-13 |
| 1780145656 | Kaitlyn L Seaton | Licensed Practical Nurse | 8773 Delta Ave, Rome, NY 13440-7411 | 2019-03-25 |
| 1205339330 | Sarah Hughes | Licensed Practical Nurse | 5529 Boyd Rd, Rome, NY 13440-7803 | 2018-03-15 |
| 1962916932 | Casey Lynn Allen | Licensed Practical Nurse | 1202 Clinton St, Rome, NY 13440-2518 | 2017-11-28 |
| 1710369665 | Cassandra Russell | Licensed Practical Nurse | 207 W Chestnut St, Rome, NY 13440-2739 | 2015-06-26 |
| 1245619733 | Annette Snow | Licensed Practical Nurse | 1603 N Madison St, Rome, NY 13440-2729 | 2015-05-29 |
| 1629456538 | Misty B Chowaniec | Licensed Practical Nurse | 7354 Davis Rd, Rome, NY 13440-0511 | 2015-05-12 |
| 1144629882 | Judi Patterson | Licensed Practical Nurse | 314 Ochab Dr, Rome, NY 13440-5612 | 2014-08-19 |
| 1740619873 | Jose Morales | Licensed Practical Nurse | 2013 Bedford St, Rome, NY 13440-2244 | 2013-11-08 |
| 1902231483 | Stephanie Ostalkiewicz | Licensed Practical Nurse | 701 Camp Street, Rome, NY 13440 | 2013-09-04 |
| Find all providers in ROME | ||||
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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.