MARY NICOLE GRAY (NPI# 1467844670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467844670 |
| Entity Type | Individual |
| Full Name | MARY NICOLE GRAY |
| Practice Address |
4645 Slippery Rock Ln Columbia VA 23038-2325 |
| Practice Telephone | 8044574153 |
| Mailing Telephone | 4343909913 |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2017-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | VA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679117394 | Mary A Gray | Technician | 613 N Jackson St, Ripley, MS 38663-1520 | 2019-11-06 |
| 1194292953 | Mary M Gray | Social Worker | 1121 Olivette Executive Pkwy Ste 205, Saint Louis, MO 63132-3254 | 2018-10-30 |
| 1114400884 | Mary Amanda Gray | Dietitian, Registered | 5306 Old Virginia Street, Urbanna, VA 23692 | 2018-09-10 |
| 1467857359 | Mary Gray | Registered Nurse | 168 Melody Ln, Tonawanda, NY 14150-9110 | 2014-11-04 |
| 1326449406 | Mary Gray | Speech-Language Pathologist | 19800 Stafford Ave, Maple Heights, OH 44137-1829 | 2014-09-09 |
| 1295145324 | Mary L Gray | Counselor | 1322 Martin Luther King Jr Ave, Grambling, LA 71245-2323 | 2014-04-28 |
| 1538355730 | Mary Gray | Pharmacist | 415 N Lincoln Blvd, Hodgenville, KY 42748-1610 | 2007-09-20 |
| 1487692448 | Mary Helen Gray | Registered Nurse | 5775 Wayzaya Blvd, Suite 190, St. Louis Park, MN 55416 | 2006-06-03 |
| 1184625055 | Mary E Gray | Nurse Practitioner | 1401 25th St S, Great Falls, MT 59405-5183 | 2005-08-02 |
| 1659875995 | Mary Kathleen Elizabeth Gray | Case Manager/Care Coordinator | 1490 E Main St, Columbus, OH 43205-2140 | 2018-03-21 |
| Street Address |
4645 SLIPPERY ROCK LN |
| City | COLUMBIA |
| State | VA |
| Zip Code | 23038-2325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962971010 | Mintesinot Edea Birbo | Taxi | 538 Saint James St, Columbia, VA 23038-2891 | 2018-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568757 | Iman A Reed | Licensed Practical Nurse | 8 Ashbury Pl, Columbia, MS 39429-3729 | 2020-11-04 |
| 1144821307 | My Concierge Pt LLC | Clinic/Center | 9141 Gracious End Ct Apt 104, Columbia, MD 21046-2095 | 2020-11-04 |
| 1003417585 | Alexis Jacobs | Clinic/Center | 100 Mondamin Rd, Columbia, SC 29210-8216 | 2020-11-03 |
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1659972909 | Sheila L Knight | Home Health Aide | 412 Waterville Dr, Columbia, SC 29229-8131 | 2020-11-03 |
| 1386245710 | John Edward Gough | Counselor | 2715 Colonial Dr Bldg 200a, Columbia, SC 29203-6818 | 2020-11-03 |
| 1417558057 | Roberto Selonk Buechele | Dentist | 460 Killian Rd Ste 1, Columbia, SC 29203-9742 | 2020-11-02 |
| 1093316648 | Jaime Walker | Pharmacist | 8910 Route 108 Ste C, Columbia, MD 21045-2151 | 2020-11-02 |
| 1447851084 | Paris Gartmon | Nurse Practitioner | 630 Canalside St Unit 1016, Columbia, SC 29201-6030 | 2020-11-02 |
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| Find all providers in COLUMBIA | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988168 | Tamica Kitching | Home Health | 4611 Hard Scrabble Rd Ste 109-208, Columbia, SC 29229-8584 | 2020-10-08 |
| 1831796515 | Kendrick Elevation and Esteem Project | Home Health | 106 Rowe Cir, Columbia, SC 29212-2511 | 2020-10-05 |
| 1164039871 | Mariah Proctor | Home Health | 1809 Vandiver Dr Ste 105, Columbia, MO 65202-3948 | 2020-09-26 |
| 1083227730 | Tamika Best | Home Health | 315 Mcrae St, Columbia, SC 29203-5472 | 2020-08-24 |
| 1841809506 | Precise Home Care Solutions LLC | Home Health | 811 Main St Ste 15, Columbia, MS 39429-2711 | 2020-07-29 |
| 1760005714 | Karing In Mind, LLC | Home Health | 7356 Garners Ferry Rd Ste 113, Columbia, SC 29209-2146 | 2020-05-26 |
| 1275153629 | Jd Healthcare Services, Inc. | Home Health | 8639 Hayshed Ln, Columbia, MD 21045-2622 | 2020-04-24 |
| 1952920233 | Theresa Marie Rogers | Home Health | 5 Clusters Ct, Columbia, SC 29210-4831 | 2020-04-15 |
| 1497374060 | James Holmes | Home Health | 140 Gills Crossing Rd, Columbia, SC 29223-3295 | 2020-04-13 |
| 1558994061 | Michelle Carolyn Collymore | Home Health | 3402 Maybank St, Columbia, SC 29204-2858 | 2020-02-13 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on MARY NICOLE GRAY.
| 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.