HANNAH GRAY (NPI# 1669889457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669889457 |
Entity Type | Individual |
Full Name | HANNAH GRAY |
Credential | FNP |
Practice Address |
201 Birch St De Kalb MS 39328-8017 |
Mailing Address |
2701 Davis St Meridian MS 39301-5708 |
Practice Telephone | 6017432643 |
Practice Fax Number | 6015538175 |
Mailing Telephone | 6016930118 |
Mailing Fax Number | 6015538175 |
Enumeration Date | 2014-07-14 |
Last Update Date | 2017-02-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R882611 | MS | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 03486259 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164029302 | Hannah Gray | Behavior Technician | 8285 S Saginaw St Ste 7, Grand Blanc, MI 48439-2436 | 2020-10-01 |
1235740218 | Hannah Gray | Pharmacist | 100 S Peachtree Pkwy, Peachtree City, GA 30269-1705 | 2020-08-12 |
1376106658 | Hannah Gray | Student in an Organized Health Care Education/Training Program | 1211 Medical Center Dr, 2301 Vuh, Nashville, TN 37232-7237 | 2019-04-22 |
1003378175 | Hannah Nicole Gray | Specialist/Technologist | 4710 N 5th St, Phoenix, AZ 85012-1738 | 2019-04-05 |
1922588417 | Hannah Gray | Case Manager/Care Coordinator | Step By Step Academy, 445 E. Dublin Granville Rd, Worthington, OH 43085-3183 | 2018-08-15 |
1831617224 | Hannah Suzanne Gray | Audiologist | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2017-09-06 |
Street Address |
201 BIRCH ST |
City | DE KALB |
State | MS |
Zip Code | 39328-8017 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982701223 | Greater Meridian Health Clinic, Inc. | Clinic/Center | 201 Birch St, De Kalb, MS 39328-8017 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194342592 | Tashanda Chamberlin | Respite Care | 100 Hopper Ave, Dekalb, MS 39328 | 2020-07-01 |
1285270801 | Proxsys Rx - Rush LLC | Pharmacy | 14916 Hwy 16 W, Unit #1, Dekalb, MS 39328 | 2019-11-19 |
1700303104 | James Waldo Vandevender | Pharmacist | 14916 Hwy 16 West, Dekalb, MS 39328 | 2017-08-25 |
1992191084 | Emmanuel Ridge of Dekalb Inc | Registered Nurse | 14632 Hwy 39n/16e, Dekalb, MS 39328 | 2015-04-15 |
1376978551 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 30 Ponderosa Avenue, Dekalb, MS 39328 | 2013-09-06 |
1386729580 | Darrell J Zehr | Dentist | 201 Birch Street, Dekalb, MS 39328 | 2006-10-26 |
1225148158 | Daniel Elliot Fulton Jr. | Dentist | Hwy 39 S Church Street, Dexalb, MS 39328 | 2006-08-30 |
1467072165 | Haley Ezelle | Occupational Therapist | 220 Willow Ave, Dekalb, MS 39328 | 2020-04-22 |
1831116300 | Freds Stores of Tennessee Inc | Pharmacy | 14916 Hwy 16 West, Dekalb, MS 39328 | 2006-07-17 |
1609866235 | Kemper County Ltc Inc | Skilled Nursing Facility | 220 Willow Ave, Dekalb, MS 39328-0577 | 2005-10-25 |
Find all providers in zip 39328 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770814576 | Dale Kay Shelton | Nurse Practitioner | 1282 Fm 2789, De Kalb, TX 75559-6103 | 2010-01-19 |
1104808732 | Martha Maxine Puckett | Nurse Practitioner | 14365 Highway 16 W, De Kalb, MS 39328-7974 | 2005-11-18 |
1326522319 | Sammy Elizabeth Kratzer | Nurse Practitioner | 14365 Highway 16 W, De Kalb, MS 39328-7974 | 2018-09-17 |
1720416308 | Almer Lee Hadaway Jr. | Nurse Practitioner | 216 N Centre St, De Kalb, TX 75559-1406 | 2013-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982205423 | Ronequa Evans | Nurse Practitioner | 811 Clubhouse Dr, Pearl, MS 39208-7023 | 2020-11-02 |
1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
1952901076 | Angela Holloway | Nurse Practitioner | 1316 County Road 94, New Albany, MS 38652-8556 | 2020-10-28 |
1073113304 | Tasha Rucker | Nurse Practitioner | 2372 Us49-e, Sumner, MS 38957 | 2020-10-27 |
1881293371 | Hanna Fernandez | Nurse Practitioner | 14225 Dedeaux Rd, Gulfport, MS 39503-3369 | 2020-10-26 |
1285233452 | Darlene Johnson | Nurse Practitioner | 2808 Allyson Gene Cv, Byhalia, MS 38611-7359 | 2020-10-20 |
1447857073 | Clarissa Nicole Yarborough | Nurse Practitioner | 113 Saint John Rd, Tylertown, MS 39667-7927 | 2020-10-06 |
1922615616 | Jack Chandler Papa | Nurse Practitioner | 3556 May Brook Cv, Southaven, MS 38672-1006 | 2020-09-26 |
1205443165 | Mallory Stockstill | Nurse Practitioner | 27 Tillery Pl, Ellisville, MS 39437-4784 | 2020-09-24 |
1184230898 | Evelyn Michelle Rainey | Nurse Practitioner | 271 Eskridge Road, Duck Hill, MS 38925 | 2020-09-17 |
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.