MRS. NANETTE L GRAY (NPI# 1568552818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568552818 |
| Entity Type | Individual |
| Full Name | MRS. NANETTE L GRAY |
| Credential | FNP |
| Practice Address |
7408 W State Road 28 Ste 1 Elwood IN 46036-8601 |
| Mailing Address |
10330 N Meridian St # 300 Indianapolis IN 46290-1024 |
| Practice Telephone | 7655018566 |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2018-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71000354A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200506240A | 05 | |
| IN | BLUE CROSS | 000000343305 | 01 |
| Street Address |
7408 W STATE ROAD 28 STE 1 |
| City | ELWOOD |
| State | IN |
| Zip Code | 46036-8601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962879155 | Kelly Smith | Nurse Practitioner | 7408 W State Road 28 Ste 1, Elwood, IN 46036-8601 | 2015-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235263682 | City of Elwood | Ambulance | 1505 South B St, Elwood, IN 46036 | 2007-03-16 |
| 1790849313 | Dennis L Church Dds Inc | Clinic/Center | 213 North 16th St, Elwood, IN 46036 | 2006-12-20 |
| 1679536320 | Elwood Family Medicine PC | Family Medicine | 1520 So R St, Elwood, IN 46036 | 2006-04-11 |
| 1295796159 | Margaret Runelle Romine | Nurse Practitioner | 1520 S R St, Elwood, IN 46036 | 2006-03-30 |
| 1346542016 | Terri Turner | Counselor | 10731 N State Road 13, Elwood, IN 46036 | 2010-12-01 |
| 1962423780 | Stephen E Hall | Anesthesiology | 1331 S A St, Elwood, IN 46036 | 2006-07-21 |
| 1104887066 | Robert James Helm | Family Medicine | 1520 S R St, Elwood, IN 46036 | 2006-03-30 |
| 1013990753 | Alfredo J Tumbali | Psychiatry & Neurology | 1500 S B St Ste 3, Elwood, IN 46036 | 2005-11-28 |
| 1619216348 | Integrated Pain Solutions, Inc | Chiropractor | 517 N Anderson St, Suite 4, Elwood, IN 46036-1293 | 2013-01-31 |
| 1861703191 | Marianne Goshorn | Specialist/Technologist | 1137 N 19th St, Elwood, IN 46036-1376 | 2010-07-01 |
| Find all providers in zip 46036 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245795392 | Erin Elizabeth Limbach | Nurse Practitioner | 1500 S B St Ste 1, Elwood, IN 46036-2082 | 2019-02-03 |
| 1295796159 | Margaret Runelle Romine | Nurse Practitioner | 1520 S R St, Elwood, IN 46036 | 2006-03-30 |
| 1962879155 | Kelly Smith | Nurse Practitioner | 7408 W State Road 28 Ste 1, Elwood, IN 46036-8601 | 2015-08-24 |
| 1508176892 | Audrey R Alcala | Nurse Practitioner | 1515 S 19th St, Elwood, IN 46036-2941 | 2010-10-20 |
| 1760633267 | Patricia R Fettig | Nurse Practitioner | 10731 N State Road 13, Elwood, IN 46036-8874 | 2008-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244176 | Mallory Lee Anslow | Nurse Practitioner | 10641 Deercrest Ln, Indianapolis, IN 46239-9690 | 2020-10-29 |
| 1285234237 | Vb Medical Group LLC | Nurse Practitioner | 10047 Whispering Wind Dr, Greenville, IN 47124-9704 | 2020-10-29 |
| 1518566397 | Stacey Renee Pulver | Nurse Practitioner | 13134 Hollow Oak Rd, Fort Wayne, IN 46845-2327 | 2020-10-22 |
| 1578162459 | Kourtney Marie Terry | Nurse Practitioner | 128 Miner Rd, Avilla, IN 46710-9690 | 2020-10-21 |
| 1780283630 | Dana L Yergler | Nurse Practitioner | 16632 Linfield Ct, Granger, IN 46530-7012 | 2020-10-21 |
| 1730788720 | Camille Mae Carl | Nurse Practitioner | 6441 Anna Louise Dr, Charlestown, IN 47111-8797 | 2020-10-20 |
| 1124626585 | Dustin Mikesell | Nurse Practitioner | 1000 E Main St Ste 104, Danville, IN 46122-1948 | 2020-10-16 |
| 1144828799 | Mina Desai-patel | Nurse Practitioner | 14698 Drayton Dr, Noblesville, IN 46062-8230 | 2020-10-15 |
| 1649878554 | Heather Ormiston-leclear | Nurse Practitioner | 3800 N Anthony Blvd # Cc1335, Fort Wayne, IN 46805-1430 | 2020-10-13 |
| 1023616125 | Kimberly Dawn Calloway | Nurse Practitioner | 5306 E Blocher Rd, Lexington, IN 47138-8803 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
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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.