LINDA GRAY (NPI# 1609326073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609326073 |
| Entity Type | Individual |
| Full Name | LINDA GRAY |
| Credential | R.N. |
| Practice Address |
805 N Broad St Carlinville IL 62626-1075 |
| Practice Telephone | 2178543223 |
| Mailing Telephone | 2178543223 |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
041.297157 | IL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 376001351008 | 05 | |
| IL | 376001351007 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851607584 | Linda C. Gray | Counselor | 3920 W Tuckey Ln, Phoenix, AZ 85019-1239 | 2010-08-18 |
| 1609065333 | Linda Crawford Gray | Speech-Language Pathologist | 11479 Pine Dr Ste 1, Parker, CO 80134-7308 | 2007-10-18 |
| 1366491375 | Linda Gray | Nurse Anesthetist, Certified Registered | 1345 Glencoe St, Denver, CO 80220-2560 | 2006-05-08 |
| 1922514140 | Linda Carroll Gray | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2017-12-26 |
| 1568900546 | Linda Gray | Counselor | 15519 Crenshaw Blvd, Gardena, CA 90249-4525 | 2017-02-09 |
| 1609145713 | Linda Leflett Gray | Case Manager/Care Coordinator | 2003 Se Walton Blvd, Bentonville, AR 72712-3725 | 2011-12-19 |
| 1457685059 | Linda Rachelle Gray | Nurse Practitioner | 500 S University Ave, Suite 515, Little Rock, AR 72205-5302 | 2009-09-29 |
| 1528077187 | Linda E. Gray | Pediatrics | 1450 Chapel St., New Haven, CT 06511 | 2006-08-05 |
| 1750397287 | Linda S Gray | Internal Medicine | 480 Medical Center Dr, Columbus, OH 43210-1229 | 2006-08-01 |
| 1144294026 | Linda Jean Gray | Counselor | 36 Sw Nye St, Newport, OR 97365-3821 | 2006-02-15 |
| Street Address |
805 N BROAD ST |
| City | CARLINVILLE |
| State | IL |
| Zip Code | 62626-1075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972630523 | Macoupin County Public Health Department | Non-emergency Medical Transport (VAN) | 805 N Broad St, Carlinville, IL 62626-1075 | 2007-02-28 |
| 1043760416 | Ashley Konneker | Registered Nurse | 805 N Broad St, Carlinville, IL 62626-1075 | 2016-10-10 |
| 1649728072 | Kelly Mclaughlin | Registered Nurse | 805 N Broad St, Carlinville, IL 62626-1075 | 2016-09-14 |
| 1215215280 | Yae Rim Lee | Psychiatry & Neurology | 805 N Broad St, Carlinville, IL 62626-1075 | 2011-07-25 |
| 1306973961 | Macoupin County Public Health Department | Public Health or Welfare | 805 N Broad St, Carlinville, IL 62626-1075 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710521984 | Cottages At Carlinville, Inc | Assisted Living Facility | 18804 Rt. 4, Carlinville, IL 62626 | 2019-10-31 |
| 1184266348 | Susan Lynne Fite | Pharmacist | 18600 Shipman Blacktop Road, Carlinville, IL 62626 | 2019-10-09 |
| 1669013215 | Rebecca Lynn Sanson | Pharmacist | 18600 Shipman Blacktop, Carlinville, IL 62626 | 2019-10-04 |
| 1497396048 | Jill Louise Kasting | Pharmacist | 18600 Shipman Blacktop Rd, Carlinville, IL 62626 | 2019-10-04 |
| 1134561822 | Fenton Family Chiropractic PC | Chiropractor | 490 West Side Square, Carlinville, IL 62626 | 2013-07-23 |
| 1992020499 | Carlinville Area Hospital Association | Clinic/Center | 1115 Morgan Street #2, Carlinville, IL 62626 | 2010-03-29 |
| 1730213026 | Carlinville Medical Clinic, Inc. | Nurse Practitioner | 604 N. Broad, Carlinville, IL 62626 | 2007-03-16 |
| 1720155906 | Rodney Lee Bailey | Dentist | 201 Mccausland, Suite A, Carlinsville, IL 62626 | 2006-11-30 |
| 1255412599 | Nicolas E Kravanya Dmd LLC | Dentist | 204 Oakland Ave, Carlinville, IL 62626 | 2006-10-17 |
| 1558456210 | Locust Street Resource Center | Clinic/Center | 320 South Locust Street, Carlinville, IL 62626 | 2006-10-04 |
| Find all providers in zip 62626 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043760416 | Ashley Konneker | Registered Nurse | 805 N Broad St, Carlinville, IL 62626-1075 | 2016-10-10 |
| 1649728072 | Kelly Mclaughlin | Registered Nurse | 805 N Broad St, Carlinville, IL 62626-1075 | 2016-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184245094 | Victoria M Bruns | Registered Nurse | 422 W Armitage Ave Unit B, Chicago, IL 60614-4513 | 2020-05-01 |
| 1982223707 | Elizabeth Pircon | Registered Nurse | 1914 W Crystal St Apt 2f, Chicago, IL 60622-3561 | 2020-04-12 |
| 1770102568 | Cecille Dizon | Registered Nurse | 1111 E Alder Ln, Mount Prospect, IL 60056-1403 | 2020-04-11 |
| 1104462738 | Nusha Sylaj Jackson | Registered Nurse | 1656 N. Wells, Chicago, IL 60614-3224 | 2019-11-19 |
| 1831108208 | Janette Sue Jones | Registered Nurse | 318 Walnut St, St Charles, IL 60174-2725 | 2006-08-05 |
| 1740812502 | Jennifer Joan Tang | Registered Nurse | 5700 S Maryland Ave, Chicago, IL 60637-1426 | 2020-02-10 |
| 1902268410 | Tatiana Alexeev | Registered Nurse | 3633 W Lake Ave Ste 303, Glenview, IL 60026-5803 | 2016-03-23 |
| 1093190324 | Angela Weidner | Registered Nurse | 109 E Maple St, Gillespie, IL 62033-1473 | 2015-07-28 |
| 1912219908 | Chinnamma Chretien | Registered Nurse | 1740 W Taylor St, Chicago, IL 60612-7232 | 2010-07-08 |
| 1194942029 | Carol Palmer Wardlaw | Registered Nurse | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2007-04-20 |
| Find all providers with the same taxonomy | ||||
| City | CARLINVILLE |
| Zip Code | 62626 |
Please comment or provide details below to improve the information on LINDA 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.