JAYLA BETH GRAY (NPI# 1053706911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053706911 |
| Entity Type | Individual |
| Full Name | JAYLA BETH GRAY |
| Credential | M.D. |
| Practice Address |
6536 S Mccarran Blvd Ste B Reno NV 89509-6152 |
| Practice Telephone | 7759828255 |
| Practice Fax Number | 7759828251 |
| Mailing Telephone | 7759828255 |
| Mailing Fax Number | 7759828251 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2019-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 18723 | NV | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | NV STATE LICENSE | 18723 | 01 |
| NV | CAQH NUMBER | 14418106 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2160 S 1st Ave, Loyola University Medical Center, Building 54, Room 136, Maywood, IL 601533328 | 8479106730 |
| Street Address |
6536 S MCCARRAN BLVD STE B |
| City | RENO |
| State | NV |
| Zip Code | 89509-6152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215163217 | Angela K. Walker | Dermatology | 6536 S Mccarran Blvd Ste B, Reno, NV 89509 | 2009-06-03 |
| 1174094866 | Community Care Services LLC | Internal Medicine | 6536 S Mccarran Blvd Ste B, Reno, NV 89509-6152 | 2018-12-06 |
| 1285032482 | Anna Ellis | Nurse Practitioner | 6536 S Mccarran Blvd Ste B, Reno, NV 89509-6152 | 2014-12-21 |
| 1225474224 | Katherine Sue Manno | Dermatology | 6536 S Mccarran Blvd Ste B, Reno, NV 89509-6152 | 2013-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992283303 | Olson Professional Services, Pllc | Electrodiagnostic Medicine | 66305 S Mccarran Blvd. Ste A4, Reno, NV 89509 | 2018-07-30 |
| 1851883607 | Matthew Christopher Peterson | Behavior Technician | 604 Moana Lane, Reno, NV 89509 | 2018-06-06 |
| 1063901155 | Board of Regents, Nevada System of Higher Education | Assistant Behavior Analyst | 604 West Moana Lane, Reno, NV 89509 | 2018-05-04 |
| 1295243517 | Megan Brenner | Counselor | 527 Plumas Street, Reno, NV 89509 | 2018-01-22 |
| 1881104099 | Trish Lee Mcguire | Occupational Therapist | 540 W Plumb Lane, Suite 201, Reno, NV 89509 | 2017-10-03 |
| 1982113825 | Sasha Bond | Behavior Technician | 3500 Lakeside Ct. #101, Reno, NV 89509 | 2017-09-22 |
| 1124547930 | Sally M Higgins | Student in an Organized Health Care Education/Training Program | 740 California Ave, Reno, NV 89509 | 2017-09-12 |
| 1851819031 | Victoria Vaughn | Counselor | 4390 Interlaken Ct., Reno, NV 89509 | 2017-09-07 |
| 1407373533 | Luis Andres Garcia Lopez | Behavior Technician | 3500 Lakeside Ct., #101, Reno, NV 89509 | 2017-08-29 |
| 1184150757 | Nevada Educational and Therapy Solutions, LLC | Speech-Language Pathologist | 1101 W Moana Lane #7, Reno, NV 89509 | 2017-05-02 |
| Find all providers in zip 89509 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700156064 | William Soren Mortensen | Dermatology | 6630 S Mccarran Blvd Ste A9, Reno, NV 89509-6136 | 2012-01-04 |
| 1699902726 | Jeffrey B Shackelton | Dermatology | 640 W. Moana Lane, Reno, NV 89509 | 2009-06-16 |
| 1215163217 | Angela K. Walker | Dermatology | 6536 S Mccarran Blvd Ste B, Reno, NV 89509 | 2009-06-03 |
| 1578686713 | Roderick Sage | Dermatology | Mail Stop 196, Unr Student Health Center, Reno, NV 89557-0196 | 2007-04-10 |
| 1164456414 | Gretchen K Korver | Dermatology | 10479 Double R Blvd, Reno, NV 89521-8905 | 2006-07-11 |
| 1841246485 | Julia Ai | Dermatology | 6120 Mae Anne Ave, 1, Reno, NV 89523 | 2006-05-25 |
| 1699763201 | Cindy Lynn Lamerson | Dermatology | 650 Sierra Rose Dr, Ste. #a, Reno, NV 89511-2081 | 2005-10-07 |
| 1427053685 | Tamara Vandyke | Dermatology | 6490 S. Mccarran Blvd, Ste D-38, Reno, NV 89509 | 2005-06-15 |
| 1730184144 | Robert J Riley | Dermatology | 6630 S Mccarran Blvd, Ste A-9, Reno, NV 89509-6135 | 2005-06-14 |
| 1093718751 | Anthony E Albregts | Dermatology | 640 W Moana Ln, Reno, NV 89509-4997 | 2005-05-24 |
| Find all providers in RENO | ||||
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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.