CYNTHIA MIDDLETON GRAY (NPI# 1104140987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104140987 |
Replacement NPI | 1104140987 |
Entity Type | Individual |
Full Name | CYNTHIA MIDDLETON GRAY |
Credential | FNP |
Practice Address |
2106 Loop Rd Winnsboro LA 71295-3344 |
Mailing Address |
Po Box 1300 Winnsboro LA 71295-1300 |
Practice Telephone | 3184359411 |
Practice Fax Number | 3184353842 |
Mailing Telephone | 3184359411 |
Mailing Fax Number | 3184353842 |
Enumeration Date | 2010-03-11 |
Last Update Date | 2018-11-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
03706 | LA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1378127 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
307 Chisum St, Sicily Island, LA 713684807 | 3183895727 | 3183894028 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346806395 | Cynthia Diane Gray | Counselor | 127 Ladera Dr, Santa Cruz, CA 95060-5210 | 2019-05-15 |
1215416896 | Cynthia Lou Gray | Occupational Therapist | Essentia Health St. Mary's Detroilakes, 1027 Washington Avenue, Detroit Lakes, MN 56501-3409 | 2018-08-14 |
1386945624 | Cynthia D Gray | Licensed Practical Nurse | 729 Northland Blvd, Cincinnati, OH 45240-3116 | 2010-11-03 |
1144453572 | Cynthia Rowland Gray | Counselor | 1115 W. Chestnut St., Brockton, MA 02301 | 2009-09-02 |
1831319078 | Cynthia Evelyn Gray | Specialist | Davis Ave and E Post Rd, White Plains, NY 10601 | 2007-04-30 |
1215024799 | Cynthia Aidina Gray | Social Worker | 518 Pleasant St, Suite 100, Northampton, MA 01060-3997 | 2006-10-06 |
1912908021 | Cynthia Gray | Family Medicine | Naval Hospital, Camp Pendleton; Attention: Code Cs-pa, Bldg H100, Santa Margarita Road, Camp Pendleton, CA 92055 | 2005-08-10 |
1649870486 | Cynthia Lorraine Gray | Nurse Practitioner | 2350 Miami Valley Dr Ste 500, Dayton, OH 45459-4780 | 2020-10-30 |
1053891739 | Cynthia Gray | Speech-Language Pathologist | 1032 Main St, Fishkill, NY 12524-3503 | 2018-08-21 |
1063900686 | Cynthia Gray | Behavior Technician | 329 E 149th St Fl 4, Bronx, NY 10451-5626 | 2018-04-30 |
Street Address |
2106 LOOP RD |
City | WINNSBORO |
State | LA |
Zip Code | 71295-3344 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902806870 | Clemens E Soeller Sr. | Orthopaedic Surgery | 2106 Loop Rd, Winnsboro, LA 71295-3344 | 2005-07-21 |
1053922674 | Samantha J Wood | Nurse Practitioner | 2106 Loop Rd, Winnsboro, LA 71295-3344 | 2020-08-17 |
1891320487 | Noland Allen Bullen | Physical Therapist | 2106 Loop Rd, Winnsboro, LA 71295-3344 | 2020-03-04 |
1104476829 | Sally Brooks | Nurse Practitioner | 2106 Loop Rd, Winnsboro, LA 71295-3344 | 2019-09-14 |
1518511914 | Gerald Onate | Physical Therapist | 2106 Loop Rd, Winnsboro, LA 71295-3344 | 2019-07-25 |
1760958821 | Leanne Myers | Registered Nurse | 2106 Loop Rd, Winnsboro, LA 71295-3344 | 2018-10-16 |
1760978449 | Emily Diane Pruitt | Nurse Practitioner | 2106 Loop Rd, Winnsboro, LA 71295-3344 | 2018-07-06 |
1306340021 | Amy Glenn | Physical Therapist | 2106 Loop Rd, Winnsboro, LA 71295-3344 | 2018-03-19 |
1619479888 | Alexandra Cooper Berry | Family Medicine | 2106 Loop Rd, Winnsboro, LA 71295-3344 | 2018-03-05 |
1578093464 | Sheila Jones | Occupational Therapy Assistant | 2106 Loop Rd, Winnsboro, LA 71295-3344 | 2017-06-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295365963 | Allyson Maxwell | Speech-Language Pathologist | 2330 Hwy La 15, Winnsboro, LA 71295 | 2020-01-22 |
1326564311 | Geaux Fit of La LLC | Physical Therapist | 3630 Front St, Winnsboro, LA 71295 | 2017-08-21 |
1407372220 | Pauline T Powell | Case Manager/Care Coordinator | 920 Maple St, Winnsboro, LA 71295 | 2017-08-15 |
1831613801 | Desi D Hoard | Counselor | 2513 Martin Dr., Winnsboro, LA 71295 | 2017-08-01 |
1174975213 | Tanya Grant | Case Manager/Care Coordinator | 2411 Gary St, Winnsboro, LA 71295 | 2016-07-12 |
1285085050 | Casey Ryan | Physical Therapist | 6340 Hwy 4, Winnsboro, LA 71295 | 2016-06-23 |
1003264649 | Ta'erica Manuel | Counselor | 1113 Lavender Dr, Winnsboro, LA 71295 | 2016-05-24 |
1073969168 | Ladill Majors | Counselor | 1459 Highway 618, Winnsboro, LA 71295 | 2016-05-09 |
1386090587 | Lakeisha Crockett | Case Manager/Care Coordinator | 2406c West St, Winnsboro, LA 71295 | 2016-05-06 |
1982064069 | Refford Oliver Sr. | Counselor | 2406 West St, Winnsboro, LA 71295 | 2016-03-02 |
Find all providers in zip 71295 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093358228 | Priscilla Brooke Mullican | Nurse Practitioner | 3326 Front St Ste C, Winnsboro, LA 71295-6418 | 2019-10-21 |
1730619529 | Shelby Smotherman Vascocu | Nurse Practitioner | 101 Fair Ave, Winnsboro, LA 71295-2117 | 2017-06-14 |
1972907160 | Lynzie Nicole Henry | Nurse Practitioner | 719 W Coke Rd # Mob2, Winnsboro, TX 75494-3011 | 2014-10-16 |
1316378805 | Stephanie Greer Johnson | Nurse Practitioner | 2104 Loop Road Ste C, Franklin Medical Rural Health, Winnsboro, LA 71295 | 2013-12-09 |
1023444551 | Kristal Lare Spencer | Nurse Practitioner | 719 W Coke Rd Ste 6, Winnsboro, TX 75494-3060 | 2013-09-16 |
1902991326 | Tanya R Cobb | Nurse Practitioner | 2106 A Loop Road, Winnsboro, LA 71295 | 2006-10-03 |
1043318991 | Kimberly R Fannin - Trisler | Nurse Practitioner | 2106 Loop Rd # C, Winnsboro, LA 71295-3344 | 2006-09-21 |
1053922674 | Samantha J Wood | Nurse Practitioner | 2106 Loop Rd, Winnsboro, LA 71295-3344 | 2020-08-17 |
1699391623 | Rang Kim | Nurse Practitioner | 3326 Front St, Winnsboro, LA 71295-6406 | 2020-06-25 |
1396369815 | Leslie Madden | Nurse Practitioner | 5745 Highway 17, Winnsboro, LA 71295-5688 | 2020-06-01 |
Find all providers in WINNSBORO |
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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.