MRS. SUSAN KAY GRAY (NPI# 1770616559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770616559 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN KAY GRAY |
| Credential | FNP |
| Practice Address |
109 N Chestnut Onarga IL 60955 |
| Mailing Address |
Po Box 77 109 N Chestnut Onarga IL 60955 |
| Practice Telephone | 8152684840 |
| Practice Fax Number | 8152684845 |
| Mailing Telephone | 8152684840 |
| Mailing Fax Number | 8152684845 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2012-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
41-207013 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841835964 | Susan Ann Gray | Physical Therapist | 12435 Jewel Stone Ln, Fort Myers, FL 33913-6752 | 2019-11-13 |
| 1538402193 | Susan Gray | Speech-Language Pathologist | 69 Lincoln Ave, Hastings On Hudson, NY 10706-2505 | 2013-04-02 |
| 1023387511 | Susan Mary Gray | Pharmacist | 1407 Ridgefield Dr, Des Peres, MO 63131-3636 | 2011-12-29 |
| 1053558577 | Susan Jane Gray | Nurse Practitioner | 915 Fern Hill Rd, Building A Suite 3, West Chester, PA 19380-4269 | 2009-01-21 |
| 1558483974 | Susan D. Gray | Chiropractor | 5416 N Maryland Ave, Portland, OR 97217-4548 | 2007-04-05 |
| 1649340225 | Susan Thomas Gray | Obstetrics & Gynecology | 1394 Hatcher Ln, Columbia, TN 38401-3568 | 2006-11-09 |
| 1083707400 | Susan Louise Gray | Speech-Language Pathologist | 12109 Sw 56th St, Mustang, OK 73064-7264 | 2006-09-30 |
| 1043251382 | Susan K. Gray | Nurse Practitioner | 22 Beverly Court, Metuchen, NJ 08840-3266 | 2006-06-09 |
| 1831723378 | Susan L Gray | Case Manager/Care Coordinator | 4761 State Route 29, Celina, OH 45822-8216 | 2020-02-24 |
| 1306380225 | Susan Gray | Registered Nurse | 7055 Samuel Morse Dr, Suite 200, Columbia, MD 21046-3439 | 2016-12-12 |
| Street Address |
109 N CHESTNUT |
| City | ONARGA |
| State | IL |
| Zip Code | 60955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982188637 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 109 North Poplar Street, Onarga, IL 60955 | 2018-09-19 |
| 1700032646 | Douglas Andrew Lanoue | Family Medicine | 912 W. Seminary Ave, Onarga, IL 60955 | 2008-08-12 |
| 1841249372 | Nexus Family Healing | Substance Abuse Rehabilitation Facility | 118 East Lincoln Street, Onarga, IL 60955 | 2006-05-10 |
| 1780938746 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 109 N Poplar, Onarga, IL 60955-0107 | 2012-10-30 |
| 1427006048 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 110 N Locust St, Onarga, IL 60955-1213 | 2006-05-05 |
| 1629552229 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 110 N Locust St, Onarga, IL 60955-1213 | 2018-09-19 |
| 1942579743 | Nexus | Residential Treatment Facility, Emotionally Disturbed Children | 110 N Locust St, Onarga, IL 60955-1213 | 2011-12-22 |
| 1861671406 | Leya M Barrett | Social Worker | 110 N Locust St, Onarga, IL 60955-1213 | 2007-10-31 |
| 1508064221 | Karen M Robertie | Counselor | 110 N Locust St, Onarga, IL 60955-1213 | 2007-07-03 |
| 1326119835 | Katherine M Fox | Dentist | 109 N Chestnut St, Onarga, IL 60955-1255 | 2006-11-13 |
| Find all providers in zip 60955 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
| 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.