MARTA R GRAY (NPI# 1801078423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801078423 |
Entity Type | Individual |
Full Name | MARTA R GRAY |
Credential | F.N.P. |
Practice Address |
1430 Olive St Ste 400 Saint Louis MO 63103-2303 |
Practice Telephone | 3142063700 |
Mailing Telephone | 3142063700 |
Enumeration Date | 2007-12-05 |
Last Update Date | 2020-08-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
2003018738 | MO | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2003018738 | MO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | MO DIVISION OF PROFESSIONAL REGISTRATION - RN AND APRN LICENSE N | 2003018738 | 01 |
Street Address |
1430 OLIVE ST STE 400 |
City | SAINT LOUIS |
State | MO |
Zip Code | 63103-2303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003820085 | Craig Allen Walseth | Counselor | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 | 2006-07-28 |
1083243141 | Ana Bertanjoli | Case Manager/Care Coordinator | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 | 2020-04-02 |
1144857863 | Conal Christopher Montgomery | Counselor | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 | 2020-03-24 |
1689209405 | Shannon Renee Hensler | Registered Nurse | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 | 2020-03-12 |
1326671017 | Amanda Mecalo | Behavior Technician | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 | 2020-02-20 |
1124650551 | Kevyana Moore | Spec/Tech, Health Info | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 | 2020-02-04 |
1952933319 | Whitney Samuels | Specialist/Technologist, Other | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 | 2020-02-04 |
1235778820 | Henrietta N/a Washington | Technician, Other | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 | 2019-12-30 |
1619516390 | Carmelita D West | Counselor | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 | 2019-12-30 |
1184261752 | Brittany Grant | Social Worker | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 | 2019-12-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306355045 | Dimensions of Care | Home Health | 1911washington Ave, Saint Louis, MO 63103 | 2017-09-26 |
1467972752 | Rebecca Jones | Social Worker | 1430 Olive Street, 500, St. Louis, MO 63103 | 2017-06-27 |
1780124511 | Priority Consumer Directed Services LLC | Home Health | 1409 Washintong Ave, Suite 504, Saint Louis, MO 63103 | 2017-02-27 |
1437562766 | Lindsey's Stepping Stones LLC | In Home Supportive Care | 1409 Washibgton Ave Suite 208, Saint Louis, MO 63103 | 2014-06-04 |
1952711046 | Jonathan Burch | Specialist/Technologist | 3330 Laclede Avenue, Saint Louis University - Chaifetz Arena, Saint Louis, MO 63103 | 2014-04-29 |
1912329954 | Chanel Mitchell | Social Worker | 1430 Olive, Suite 500, Saint Louis, MO 63103 | 2014-01-10 |
1194067116 | Hassan R Jafri | Physical Therapist | 1722 Olive, Sutie 201, St. Louis, MO 63103 | 2013-03-18 |
1710240023 | Dorothy Harris | Licensed Practical Nurse | 615 North Grand, Saint Louis, MO 63103 | 2012-06-21 |
1932407335 | Terence Michael Crowley | Chiropractor | 3141 Locust St Ste 200, Saint Louis, MO 63103 | 2011-03-09 |
1104123470 | Thompson Home Health Team LLC | Chore Provider | 3101 Olive Street, St Louis, MO 63103 | 2011-02-22 |
Find all providers in zip 63103 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
1467059972 | Anissa Rasul | Nurse Practitioner | 10631 Thayer Dr, Saint Louis, MO 63123-6018 | 2020-10-07 |
1124635388 | Brittney Sherrell Burks | Nurse Practitioner | 10314 Briar Hollow Dr Apt 7, Saint Louis, MO 63146-5777 | 2020-09-30 |
1629684865 | Nicole Burdge | Nurse Practitioner | 9230 Laurel Hill Dr, Saint Louis, MO 63126-2820 | 2020-09-22 |
1932724614 | Oluwatoyin Olufunke Adegboyega | Nurse Practitioner | 3318 Saint Vincent Ave, Saint Louis, MO 63104-1338 | 2020-06-09 |
1497376487 | Jessica A Spring | Nurse Practitioner | 6023 Lansdowne Ave, Saint Louis, MO 63109-2243 | 2020-04-30 |
1932728466 | Lucy Wachuka Kamau | Nurse Practitioner | 4412 Clarence Ave, Saint Louis, MO 63115-3108 | 2020-04-14 |
1275169567 | Lindsay Jones | Nurse Practitioner | 1115 Olivette Executive Pkwy Ste 100, Saint Louis, MO 63132-3265 | 2020-03-18 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63103 |
Please comment or provide details below to improve the information on MARTA R 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.