KELSEY GRAY (NPI# 1952899940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952899940 |
| Entity Type | Individual |
| Full Name | KELSEY GRAY |
| Practice Address |
1005 Broadway St Quincy IL 62301-2834 |
| Practice Telephone | 2172231200 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2020-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
209017505 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275032609 | Kelsey L. Gray | Optometrist | 2726 Electric Rd Ste 104, Roanoke, VA 24018-3528 | 2018-02-12 |
| 1598894529 | Kelsey Ann Gray | Social Worker | 411 Route 6a, Building 5, Unit C, Yarmouth Port, MA 02675-1843 | 2007-03-05 |
| 1740841360 | Kelsey Gray | Speech-Language Pathologist | 602 Vonderburg Dr Ste 201, Brandon, FL 33511-5900 | 2019-06-25 |
| 1346804457 | Kelsey Paige Gray | Behavior Technician | 508 Upland St, Kenai, AK 99611-8026 | 2019-04-24 |
| 1912348293 | Kelsey Gray | Student in an Organized Health Care Education/Training Program | 1000 W Carson St # 461, Torrance, CA 90502-2004 | 2013-07-15 |
| 1174660450 | Kelsey Gray | Internal Medicine | 1033 Los Palos Dr, Salinas, CA 93901-3916 | 2007-01-30 |
| Street Address |
1005 BROADWAY ST |
| City | QUINCY |
| State | IL |
| Zip Code | 62301-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729087 | Mary F Barthel | Internal Medicine | 1005 Broadway St, Quincy, IL 62301-2834 | 2005-06-08 |
| 1861093528 | Kayla Cathleen Fletcher | Pharmacist | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-11-07 |
| 1124629035 | Carla Sue Smith | Clinical Nurse Specialist | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-11-06 |
| 1164023636 | Whitney Brock | Nurse Practitioner | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-11-02 |
| 1851918635 | Mitchell Andrew Coval | Nurse Anesthetist, Certified Registered | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-06-29 |
| 1699392415 | Jaryn S Black | Nurse Practitioner | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-06-27 |
| 1326677535 | Angie Rose | Nurse Practitioner | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-04-08 |
| 1386274843 | Lisa Marie Orton | Nurse Practitioner | 1005 Broadway St, Quincy, IL 62301-2834 | 2020-01-23 |
| 1497393847 | Benjamin Nash | Nurse Anesthetist, Certified Registered | 1005 Broadway St, Quincy, IL 62301-2834 | 2019-12-17 |
| 1851938476 | Nichole Suzanne Stanley | Nurse Practitioner | 1005 Broadway St, Quincy, IL 62301-2834 | 2019-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
| 1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
| 1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in zip 62301 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417414210 | Lena Hope Vo | Nurse Practitioner | 229 South St, Quincy, MA 02169-7033 | 2019-02-27 |
| 1336645035 | Alyssa Crowe | Nurse Practitioner | 1005 Broadway St, Quincy, IL 62301-2834 | 2018-04-02 |
| 1255836326 | Amy Lee Bates | Nurse Practitioner | 1005 Broadway St, Quincy, IL 62301-2834 | 2018-03-29 |
| 1255835237 | Jason Mitchell Little | Nurse Practitioner | 1005 Broadway St, Quincy, IL 62301 | 2018-03-22 |
| 1487194205 | Michael Marshall | Nurse Practitioner | 1005 Broadway St, Quincy, IL 62301-2834 | 2017-02-27 |
| 1891092052 | Candice Coursey | Nurse Practitioner | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 | 2011-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759461 | Sarah Westerman | Nurse Practitioner | 721 Dover Ct, Pingree Grove, IL 60140-9181 | 2020-10-28 |
| 1609485424 | Intensive Karen LLC | Nurse Practitioner | 612 Mulford St Apt 503, Evanston, IL 60202-3531 | 2020-07-28 |
| 1609484591 | Jennifer Kuczero | Nurse Practitioner | 4059 W 89th Pl, Hometown, IL 60456-1202 | 2020-07-16 |
| 1205452489 | Aneta Trybula | Nurse Practitioner | 10604 W 154th Pl, Orland Park, IL 60462-6025 | 2020-06-23 |
| 1740742170 | Jenna C Reeh | Nurse Practitioner | 1740 W Taylor St # 605e, Chicago, IL 60612-7232 | 2019-04-04 |
| 1588125116 | Sherryl Estorque | Nurse Practitioner | 9033 W Heathwood Cir, Niles, IL 60714-5807 | 2019-03-27 |
| 1992276497 | Laura Beth Miller | Nurse Practitioner | 302 W Hay St Ste 110, Decatur, IL 62526-4167 | 2018-12-09 |
| 1932674322 | Ashleigh M Poptic | Nurse Practitioner | 675 N St Claire St Ste 19-100, Galter Pavilion, Chicago, IL 60611-5969 | 2018-10-11 |
| 1215415039 | Julieanne Ferguson | Nurse Practitioner | 251 E Huron St Dept Of, Chicago, IL 60611-2908 | 2018-08-02 |
| 1275024523 | Lateisha Nicole Fort | Nurse Practitioner | 1222 E 170th St, South Holland, IL 60473-3558 | 2018-05-22 |
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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.