KATHLEEN A GRAY (NPI# 1285242115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285242115 |
| Entity Type | Individual |
| Full Name | KATHLEEN A GRAY |
| Credential | RN |
| Practice Address |
87 Swierkos Dr Moundsville WV 26041-4209 |
| Practice Telephone | 3048432306 |
| Practice Fax Number | 3048432308 |
| Mailing Telephone | 3048432306 |
| Mailing Fax Number | 3048432308 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | WV | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 1255523494 | 05 | |
| WV | 1356607394 | 05 | |
| WV | 1710243753 | 05 | |
| WV | 1821206228 | 05 | |
| WV | 1114118973 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669891438 | Kathleen Gray | Registered Nurse | 109 Wyandot St, Darlington, SC 29532-4210 | 2014-04-09 |
| 1124393418 | Kathleen E Gray | Nurse Practitioner | 1636 Shadowood Ln Ste 120, Jacksonville, FL 32207-2187 | 2012-03-20 |
| 1659641785 | Kathleen Wells Gray | Marriage & Family Therapist | 300 S Beverly Dr # 250, Beverly Hills, CA 90212-4808 | 2012-01-05 |
| 1336422252 | Kathleen Gray | Preventive Medicine | 3930 4th Ave Ste 200, San Diego, CA 92103-3119 | 2011-09-27 |
| 1558697656 | Kathleen Gray | Occupational Therapist | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2009-10-23 |
| 1578798096 | Kathleen Marie Gray | Physician Assistant | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2009-05-28 |
| 1063526366 | Kathleen Lucy Gray | Registered Nurse | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2006-08-17 |
| Street Address |
87 SWIERKOS DR |
| City | MOUNDSVILLE |
| State | WV |
| Zip Code | 26041-4209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417575846 | Billie Jo Oconnell | Case Manager/Care Coordinator | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-07-13 |
| 1255932158 | Ronald Joseph Riser Jr. | Technician | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-11-06 |
| 1356942270 | India Rose Blackburn | Technician | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-11-06 |
| 1992306971 | Mary Regina Bassett | Technician | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-11-05 |
| 1851991822 | Eva Anna Anthony | Technician | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-10-29 |
| 1689274995 | Tara Renee Matts | Technician | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-10-27 |
| 1467052837 | Kelly Newbrough | Technician | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-10-27 |
| 1043819766 | Jennifer Lynn Perry | Technician | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-10-23 |
| 1316546039 | Matthew Abshire | Technician | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-10-23 |
| 1396344024 | Jessica Ernest | Technician | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093272577 | Tonya Sue Roush | Technician | 2056 Center Street, Moundsville, WV 26041 | 2019-02-21 |
| 1720568264 | Christina Robinson | Registered Nurse | Washington Lands Elementary, 116 School Rd., Moundsville, WV 26041 | 2018-08-15 |
| 1962935296 | Tracy A. Zang | Dentist | 112 Correctional Dr., Northern Regional Correctional Facility, Moundsville, WV 26041 | 2017-04-04 |
| 1154861052 | Andrea Garrison | Specialist/Technologist | 633 Blairs Ridge Rd, Moundsville, WV 26041 | 2017-02-27 |
| 1932643418 | First Settlement Physical Therapy | Physical Therapist | 1216 Lafayette Ave, Moundsville, WV 26041 | 2016-12-19 |
| 1245772177 | The Village Network | Community/Behavioral Health | 52 Fourteenth Street, Wheeling, WV 26041 | 2016-11-09 |
| 1144516683 | Sarah D Dean | Counselor | 324 7th and Lafayette Street, Moundsville, WV 26041 | 2011-06-23 |
| 1114101540 | Becky Poling | Speech-Language Pathologist | 2700 Eastern Fourth Street, Moundsville, WV 26041 | 2007-12-20 |
| 1871775213 | Cathy Jones | Registered Nurse | 2700 Fourth Street, Marshall County Board of Education, Moundsville, WV 26041 | 2007-11-28 |
| 1326262536 | Marshall County Health Department | Public Health or Welfare | 6th Street & Court Avenue, Moundsville, WV 26041 | 2007-04-12 |
| Find all providers in zip 26041 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006231 | Janet Lynn Judy | Case Manager/Care Coordinator | 212 1/2 Court Ave, Moundsville, WV 26041-1449 | 2020-09-03 |
| 1215540216 | Natalie Trowbridge | Case Manager/Care Coordinator | 544 Ridgeview Ln, Moundsville, WV 26041-4138 | 2020-08-28 |
| 1881205490 | Charity Jo Carroll | Case Manager/Care Coordinator | 3383 Middle Grave Creek Rd, Moundsville, WV 26041-3367 | 2020-08-17 |
| 1417575846 | Billie Jo Oconnell | Case Manager/Care Coordinator | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-07-13 |
| 1528676020 | Carrie Bledsoe | Case Manager/Care Coordinator | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-07-21 |
| 1396353843 | Cindy Mucheck | Case Manager/Care Coordinator | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-07-21 |
| 1801404306 | Patricia Jack | Case Manager/Care Coordinator | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-07-21 |
| 1891303376 | Shari Staten | Case Manager/Care Coordinator | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-07-21 |
| 1134737075 | Dana Loretto | Case Manager/Care Coordinator | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194647 | Carol Garten | Case Manager/Care Coordinator | 248 Red Oaks Shopping Ctr, Ronceverte, WV 24970-1349 | 2020-11-06 |
| 1659972552 | Khadijah Abdul-wahid | Case Manager/Care Coordinator | 910 Princeton Ave Apt 201, Bluefield, WV 24701-3100 | 2020-11-06 |
| 1942801014 | Ashley Bragg | Case Manager/Care Coordinator | 259 Maplewood Ln, Beaver, WV 25813-9341 | 2020-11-05 |
| 1538760566 | John David Barnes | Case Manager/Care Coordinator | 229 W Main St Ste 200, Clarksburg, WV 26301-2966 | 2020-11-05 |
| 1629679261 | Steven Thomas | Case Manager/Care Coordinator | 142 White Rose Dr, Daniels, WV 25832-9135 | 2020-11-02 |
| 1255931945 | Ami Moffo | Case Manager/Care Coordinator | 12 Carolina Ave, Beech Bottom, WV 26030-1006 | 2020-10-30 |
| 1023618576 | Julianna Christine Hayden | Case Manager/Care Coordinator | 3501 Winchester Avenue, Martinsburg, WV 25405-3187 | 2020-10-26 |
| 1063011781 | Judy E Grose | Case Manager/Care Coordinator | 3873 Maple Acres Rd, Bluefield, WV 24701-5055 | 2020-10-23 |
| 1326647207 | Carrie Stranko | Case Manager/Care Coordinator | 444 White Ave, Morgantown, WV 26501-6663 | 2020-10-21 |
| 1629677695 | Taylor Martin | Case Manager/Care Coordinator | 86 E Main St Ste B, Buckhannon, WV 26201-2864 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | MOUNDSVILLE |
| Zip Code | 26041 |
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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.