COURTNEY GRAY (NPI# 1972140630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972140630 |
Entity Type | Individual |
Full Name | COURTNEY GRAY |
Practice Address |
2604 Saint Michael Dr Ste 345 Texarkana TX 75503-2378 |
Practice Telephone | 9038385500 |
Mailing Telephone | 9038385500 |
Enumeration Date | 2019-12-02 |
Last Update Date | 2019-12-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP142833 | TX | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912429473 | Courtney Leanne Gray | Specialist/Technologist | 319 Brown Ave, Rockford, IL 61103-4102 | 2017-07-16 |
1588988927 | Courtney Danielle Thomas Gray | Physical Therapist | 3535 Military Trl Ste 200, Jupiter, FL 33458-5009 | 2010-03-14 |
1255832648 | Courtney Gray | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-02-22 |
1215445622 | Courtney Rose Gray | Nurse Practitioner | 1390 Us Highway 61 Ste N1500, Festus, MO 63028 | 2018-01-19 |
1124562640 | Courtney Gray | Case Manager/Care Coordinator | 6701 Highway 67, Benton, AR 72015-8909 | 2016-12-19 |
1629512082 | Courtney Gray | Speech-Language Pathologist | 3240 Washington Rd, Suite 200, Mc Murray, PA 15317-3180 | 2016-12-05 |
1992143358 | Courtney Gray | Emergency Medicine | 3333 Springhill Dr, North Little Rock, AR 72117-2922 | 2013-06-07 |
1326381666 | Courtney Christine Gray | Nurse Anesthetist, Certified Registered | 255 Lafayette Ave, Anesthesia Office, Suffern, NY 10901-4812 | 2013-04-05 |
1730441122 | Courtney Gray | Occupational Therapist | 8117 Center Run Dr, Indianapolis, IN 46250-1945 | 2012-06-12 |
1720352420 | Courtney Elysha Gray | Chiropractor | 1281 Rte 113, Blooming Glen, PA 18911 | 2012-02-28 |
Street Address |
2604 SAINT MICHAEL DR STE 345 |
City | TEXARKANA |
State | TX |
Zip Code | 75503-2378 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891955043 | Charles Shoalmire Jr. | Nurse Practitioner | 2604 Saint Michael Dr Ste 345, Texarkana, TX 75503-2378 | 2008-06-11 |
1780981670 | Megan Do | Internal Medicine | 2604 Saint Michael Dr Ste 345, Texarkana, TX 75503-2378 | 2011-02-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
Find all providers in zip 75503 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548870892 | Melissa Michelle Wilson | Nurse Practitioner | 2602 Saint Michael Dr Ste 302a, Texarkana, TX 75503-2387 | 2020-08-02 |
1558919365 | Angela Michelle Savell | Nurse Practitioner | 4192 Satterfield Ln, Texarkana, AR 71854-0552 | 2019-08-27 |
1770041691 | Genova L Hansen | Nurse Practitioner | 95 Dyke Thomas Rd, Texarkana, TX 75501-2104 | 2019-03-10 |
1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
1730678483 | Julie Sloan Henderson | Nurse Practitioner | 876 Cummings Ln, Texarkana, TX 75501-2194 | 2018-05-08 |
1083116198 | Amanda Michelle Ross | Nurse Practitioner | 3725 Mall Ln, Texarkana, TX 75501-2658 | 2018-03-05 |
1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
1326555616 | Mandilyn Kay Cottingham | Nurse Practitioner | 391 Private Road 1223, Texarkana, AR 71854-1459 | 2018-01-08 |
1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
1003331356 | Virginia Ann Parker | Nurse Practitioner | 1004 Ele St, Texarkana, TX 75501-3018 | 2017-08-08 |
Find all providers in TEXARKANA |
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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.