JUSTIN D GRAY (NPI# 1407315385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407315385 |
| Entity Type | Individual |
| Full Name | JUSTIN D GRAY |
| Credential | LPN |
| Practice Address |
32 B Fortune Valley Lane Saugerties NY 12477 |
| Mailing Address |
32b Fortune Valley Lane Saugerties NY 12477 |
| Practice Telephone | 8452461821 |
| Mailing Telephone | 8453465220 |
| Mailing Fax Number | 8452461821 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 283248 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396920120 | Justin J Gray | Physical Therapist | 73 Nealy Blvd, Bldg 256, Hampton, VA 23665-2023 | 2007-12-28 |
| 1518439397 | Justin James Gray | Clinical Neuropsychologist | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2018-12-18 |
| 1639603269 | Justin Gray | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Service Dr, Detroit, MI 48201 | 2017-04-20 |
| 1588195697 | Justin Wade Gray | Student in an Organized Health Care Education/Training Program | 100 E 77th St, New York, NY 10075-1850 | 2017-03-22 |
| 1174977458 | Justin Gray | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2016-04-22 |
| Street Address |
32 B FORTUNE VALLEY LANE |
| City | SAUGERTIES |
| State | NY |
| Zip Code | 12477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437611316 | Laurie J. Fischer | Licensed Practical Nurse | 32a Fortune Valley Ln, Saugherties, NY 12477 | 2019-04-01 |
| 1780166645 | Open Door Family Medical Center Inc | Clinic/Center | 16 W Bridge St Ste 4, Saugerties, NY 12477 | 2018-09-06 |
| 1609374503 | Rachel Caroline Brousseau | Physician Assistant | 2976 Us-9w, Saugerties, NY 12477 | 2018-01-25 |
| 1982145124 | Jacqueline Paunovic | Massage Therapist | 175 North Drive, Saugeties, NY 12477 | 2017-03-20 |
| 1902236201 | Brenda Belle-dunmore | Licensed Practical Nurse | 2683 Route 9w, Saugerties, NY 12477 | 2013-11-22 |
| 1780957811 | Deborah Anne Dickson | Registered Nurse | 10 John Yaeger Rd, Saugerties, NY 12477 | 2012-02-21 |
| 1225348907 | Jeane Catherine Mcmahon | Registered Nurse | 20 Leonard La, Saugerties, NY 12477 | 2010-10-15 |
| 1902116593 | Patricia Fricker | Registered Nurse | 39 Diamond Court, Saugerties, NY 12477 | 2010-10-15 |
| 1619285657 | Jay E. Brown | Psychologist | 310 Washington Avenue, Call Box A, Saugerties, NY 12477 | 2010-09-23 |
| 1639487689 | Gina Marie Kiniry | Social Worker | 1 Washington Avene Ext, Saugerties, NY 12477 | 2010-09-23 |
| Find all providers in zip 12477 | ||||
| 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 |
|---|---|---|---|---|
| 1548754716 | Lisa Marin Motzer | Licensed Practical Nurse | 110 Lauren Tice Rd, Saugerties, NY 12477-4159 | 2018-06-20 |
| 1962991950 | Rachel Joan Torgersen | Licensed Practical Nurse | 2072 Route 32 Apt 1, Saugerties, NY 12477-4486 | 2018-05-04 |
| 1558878496 | Nikki Boice | Licensed Practical Nurse | 227 Partition St Apt 1, Saugerties, NY 12477-1554 | 2017-12-31 |
| 1023555059 | Lisa Marie Rios-urrutia | Licensed Practical Nurse | 32 Spaulding Ln, Saugerties, NY 12477-2313 | 2017-01-29 |
| 1700254240 | Christine Forbes | Licensed Practical Nurse | 68 Washington Ave Apt 2, Saugerties, NY 12477-1527 | 2015-09-14 |
| 1528447075 | Liaudriann Osborne | Licensed Practical Nurse | 3561 Route 32 Apt 4, Saugerties, NY 12477-4091 | 2015-05-29 |
| 1568869378 | Athena Swart | Licensed Practical Nurse | 1520 Route 32, Saugerties, NY 12477-4508 | 2014-11-21 |
| 1578966412 | Carlo Puma | Licensed Practical Nurse | 129 Barclay Ln, Saugerties, NY 12477-5201 | 2014-10-07 |
| 1902236201 | Brenda Belle-dunmore | Licensed Practical Nurse | 2683 Route 9w, Saugerties, NY 12477 | 2013-11-22 |
| 1861733362 | Patricia E Dixon | Licensed Practical Nurse | 10 Codys Ct, Saugerties, NY 12477-5066 | 2013-03-07 |
| Find all providers in SAUGERTIES | ||||
| City | SAUGERTIES |
| Zip Code | 12477 |
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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.