NATHAN GRAY (NPI# 1356742092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356742092 |
| Entity Type | Individual |
| Full Name | NATHAN GRAY |
| Credential | LMP |
| Practice Address |
11923 22nd Street Ct E Edgewood WA 98372-1649 |
| Practice Telephone | 2533707105 |
| Mailing Telephone | 2533707105 |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60497311 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952347999 | Nathan A Gray | Internal Medicine | 11808 Kingston Pike Ste 160, Knoxville, TN 37934-3838 | 2006-06-20 |
| 1972866374 | Nathan Charles Gray | Physician Assistant | 262 Danny Thomas Place, Ms #800, Memphis, TN 38105 | 2012-06-20 |
| 1285864405 | Nathan Alexander Gray | Internal Medicine | 2301 Erwin Rd, Durham, NC 27705-4699 | 2009-07-22 |
| Street Address |
11923 22ND STREET CT E |
| City | EDGEWOOD |
| State | WA |
| Zip Code | 98372-1649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871934034 | Elizabeth C Christensen | Massage Therapist | 1917 Old Us 66, Suite G, Edgewood, NM 87015-6762 | 2013-07-16 |
| 1558663914 | Paulette Kathleen Wiesinger | Massage Therapist | 11804 County Line Rd, Edgewood, WA 98372-1255 | 2010-11-17 |
| 1265619316 | Bonnie Janette Harrison | Massage Therapist | 3307 Meridian Ave E, Edgewood, WA 98371-2609 | 2008-01-30 |
| 1598899908 | Cheryl Lynn Phillips | Massage Therapist | 2121 Meridian Ave E, Suite 9, Edgewood, WA 98371-1006 | 2007-03-15 |
| 1952939159 | Mika R Brown | Massage Therapist | 1020 Edgewood Rd, Edgewood, MD 21040-1606 | 2020-04-01 |
| 1104477272 | Josephine D Bruenn | Massage Therapist | 2809 Meridian Ave E, Edgewood, WA 98371-2108 | 2019-09-20 |
| 1023668878 | Monica Bruenn | Massage Therapist | 2809 Meridian Ave E, Edgewood, WA 98371-2108 | 2019-09-13 |
| 1497196182 | Mollijoy Arlene Boersema | Massage Therapist | 2809 Meridian Ave E, Edgewood, WA 98371-2108 | 2013-07-10 |
| 1851633135 | Tracey Hughes | Massage Therapist | 1 Linnie Ct, Edgewood, NM 87015-9125 | 2013-03-25 |
| 1265628838 | Joan Marie Shephard | Massage Therapist | 1625 Meridian Ave E, Edgewood, WA 98371-1013 | 2007-09-18 |
| Find all providers in EDGEWOOD | ||||
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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.