REBECCA LYNNE GRAY (NPI# 1962448969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962448969 |
| Entity Type | Individual |
| Full Name | REBECCA LYNNE GRAY |
| Other Name | REBECCA LYNNE WESTER |
| Credential | APNP |
| Practice Address |
5200 Fairview Blvd Wyoming MN 55092 |
| Mailing Address |
5200 Fairview Blvd Wyoming MN 55092-8013 |
| Practice Telephone | 6519827600 |
| Mailing Telephone | 6519827600 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2019-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 303 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 2615-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
2615 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367A00000X | Advanced Practice Midwife | 303 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | STATE MEDICAL LICENSE | R118279-4 | 01 |
| MT | STATE MEDICAL LICENSE | 38168 | 01 |
| WI | 41265200 | 05 | |
| WI | STATE MEDICAL LICENSE | 106194 | 01 |
| WI | STATE MEDICAL LICENSE | 2615 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 730 10th Ave, Baldwin, WI 540029416 | 7156843311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417351396 | Rebecca Gray | Licensed Practical Nurse | 187 Reese Rd, Portsmouth, OH 45662-9050 | 2014-10-21 |
| 1003104134 | Rebecca Gray | Speech-Language Pathologist | 11 Carol St, Newburgh, NY 12550 | 2011-07-11 |
| 1366778144 | Rebecca S Gray | Nurse Practitioner | 427 Hill St, Murphy, NC 28906-3509 | 2009-10-28 |
| 1841824364 | Rebecca Gray | Peer Specialist | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2020-02-24 |
| 1275193518 | Rebecca Gray | Occupational Therapist | 1701 S Creasy Ln, Lafayette, IN 47905-4972 | 2019-06-18 |
| 1881158970 | Rebecca Gray | Behavior Technician | 1330 Quail Lake Loop Ste 200, Colorado Springs, CO 80906-4651 | 2019-01-23 |
| 1790152288 | Rebecca Gray | Physical Therapist | 2835 N Grandview Blvd, Suite 100, Pewaukee, WI 53072-5546 | 2015-08-31 |
| 1568863751 | Rebecca W Gray | Speech-Language Pathologist | 2030 Chilhowee Medical Park, Maryville, TN 37804-5285 | 2014-09-08 |
| 1841615010 | Rebecca Gray | Counselor | 117 N 29th Ave, Cornelius, OR 97113-8517 | 2014-02-25 |
| 1578985958 | Rebecca Gray | Pharmacist | 6085 W Chandler Blvd, Chandler, AZ 85226-3401 | 2014-01-20 |
| Street Address |
5200 FAIRVIEW BLVD |
| City | WYOMING |
| State | MN |
| Zip Code | 55092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061371 | Gunnar Jon Erickson | Ophthalmology | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2005-05-24 |
| 1902414378 | Fairview Express Care | General Practice | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2020-07-21 |
| 1023648235 | Cassandra L Etheridge | Physician Assistant | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2020-01-16 |
| 1023652211 | Natasha Lackas | Speech-Language Pathologist | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2019-10-31 |
| 1467019414 | Terrence Ellis | Clinical Exercise Physiologist | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2019-05-24 |
| 1790341493 | Krystal Kraemer | Dietitian, Registered | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2019-05-17 |
| 1225509037 | Lauren Downie | Dietitian, Registered | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2018-12-06 |
| 1861977787 | Magdalen Rene Gadbois | Speech-Language Pathologist | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2018-09-26 |
| 1285110338 | Marie Hudalla | Physical Therapist | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2018-07-12 |
| 1023502697 | Molly Levy | Nurse Practitioner | 5200 Fairview Blvd, Wyoming, MN 55092 | 2018-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696022 | Wyoming Family Dental | Dentist | 5378 East Viking Blvd., Wyoming, MN 55092 | 2020-10-12 |
| 1851909436 | Matthew Rohlf | Dentist | 5378 E Viking Blvd, Wyoming, MN 55092 | 2020-07-20 |
| 1669013280 | Christina Marie Orde | Technician | 4855 261st Street, Wyoming, MN 55092 | 2019-10-04 |
| 1609425966 | Faith Bouttell | Technician | 25423 Heims Lake Circle, Wyoming, MN 55092 | 2019-09-10 |
| 1275875031 | Fairview Express Care | Clinic/Center | 5130 Fairview Blvd, Suite 101, Wyoming, MN 55092 | 2013-03-20 |
| 1023385242 | St. Croix Orthopaedics, P.a. | Durable Medical Equipment & Medical Supplies | 5200 Fairview Blvd., Wyoming, MN 55092 | 2011-11-17 |
| 1902851876 | Tamara Piroska Petrac-halatsis | Obstetrics & Gynecology | 5200 Fairview Boulevard, Ob/gyn Department, Wyoming, MN 55092 | 2006-05-22 |
| 1376922070 | Carli Lynn Ceder | Physical Therapist | 5130 Fairview Blvd, Wyoming, MN 55092 | 2015-05-27 |
| 1396087433 | Fairview Health Services | Durable Medical Equipment & Medical Supplies | 5130 Fairview Blvd, Suite 104, Wyoming, MN 55092 | 2013-03-26 |
| 1598007726 | Fairview Health Services | Prosthetic/Orthotic Supplier | 5130 Fairview Blvd, Suite 103, Wyoming, MN 55092 | 2013-03-26 |
| Find all providers in zip 55092 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033547658 | Maranda Catherine Gary | Nurse Practitioner | 2122 Health Drive, Wyoming, MI 49519 | 2013-10-16 |
| 1386077873 | Lindsey Elizabeth Chorney | Nurse Practitioner | 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 | 2013-08-20 |
| 1497706840 | Metro Health Basic Care | Nurse Practitioner | 5500 Clyde Park Ave Sw, Wyoming, MI 49509-9525 | 2006-05-12 |
| 1043832728 | Lisa Marie Wamsley | Nurse Practitioner | 5838 Metro Way Sw, Wyoming, MI 49519-9619 | 2020-05-15 |
| 1528611373 | Erin Jean Mccue | Nurse Practitioner | 5500 Clyde Park Ave Sw, Wyoming, MI 49509-9525 | 2019-07-22 |
| 1588127799 | Rebecca Kloote | Nurse Practitioner | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2019-04-14 |
| 1508341686 | Margaret Maureen O'hara | Nurse Practitioner | 2122 Health Dr Sw, Wyoming, MI 49519-9698 | 2018-09-25 |
| 1366937716 | Mallory Ann Myslenski | Nurse Practitioner | 2122 Health Dr Sw Ste 133, Wyoming, MI 49519-9698 | 2018-06-28 |
| 1194210914 | Katelyn Gettel | Nurse Practitioner | 2122 Health Dr Sw, Suite 133, Wyoming, MI 49519 | 2018-06-25 |
| 1184119901 | Emily Mccloskey | Nurse Practitioner | 2122 Health Dr Sw, Suite 133, Wyoming, MI 49519 | 2018-06-25 |
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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.