MARY LOUISE GRAY (NPI# 1144417692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144417692 |
| Entity Type | Individual |
| Full Name | MARY LOUISE GRAY |
| Practice Address |
3111 Williamson County Pkwy Marion IL 62959-5235 |
| Mailing Address |
902 W Main St West Frankfort IL 62896-2210 |
| Practice Telephone | 6189973647 |
| Practice Fax Number | 6189699437 |
| Mailing Telephone | 6189376483 |
| Mailing Fax Number | 6189371440 |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2018-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 041.142634 | IL | Nursing Service Providers |
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
041-142634 | IL | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 902 W Main St, West Frankfort, IL 628962210 | 6189376483 | 6189371440 |
| 2311 S Illinois Ave, Carbondale, IL 629035912 | 6184576703 | 6185493734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679117394 | Mary A Gray | Technician | 613 N Jackson St, Ripley, MS 38663-1520 | 2019-11-06 |
| 1194292953 | Mary M Gray | Social Worker | 1121 Olivette Executive Pkwy Ste 205, Saint Louis, MO 63132-3254 | 2018-10-30 |
| 1114400884 | Mary Amanda Gray | Dietitian, Registered | 5306 Old Virginia Street, Urbanna, VA 23692 | 2018-09-10 |
| 1467844670 | Mary Nicole Gray | Home Health | 4645 Slippery Rock Ln, Columbia, VA 23038-2325 | 2015-02-25 |
| 1467857359 | Mary Gray | Registered Nurse | 168 Melody Ln, Tonawanda, NY 14150-9110 | 2014-11-04 |
| 1326449406 | Mary Gray | Speech-Language Pathologist | 19800 Stafford Ave, Maple Heights, OH 44137-1829 | 2014-09-09 |
| 1295145324 | Mary L Gray | Counselor | 1322 Martin Luther King Jr Ave, Grambling, LA 71245-2323 | 2014-04-28 |
| 1538355730 | Mary Gray | Pharmacist | 415 N Lincoln Blvd, Hodgenville, KY 42748-1610 | 2007-09-20 |
| 1487692448 | Mary Helen Gray | Registered Nurse | 5775 Wayzaya Blvd, Suite 190, St. Louis Park, MN 55416 | 2006-06-03 |
| 1184625055 | Mary E Gray | Nurse Practitioner | 1401 25th St S, Great Falls, MT 59405-5183 | 2005-08-02 |
| Street Address |
3111 WILLIAMSON COUNTY PKWY |
| City | MARION |
| State | IL |
| Zip Code | 62959-5235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770521148 | Aline Gilbert-johnson | Psychiatry & Neurology | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2006-06-04 |
| 1407483670 | Laboratory Corporation of America | Clinical Medical Laboratory | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2020-03-26 |
| 1609401405 | Kristin Mcdonald | Nurse Practitioner | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2020-03-12 |
| 1790333656 | Brittany Funk | Occupational Therapy Assistant | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2019-09-03 |
| 1306341458 | Ashley Bennett | Registered Nurse | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2018-03-29 |
| 1922503374 | Ashlie Hoopes | Registered Nurse | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2018-03-28 |
| 1740798537 | Katye Roper | Social Worker | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2018-01-16 |
| 1205372778 | Chesi Marion Centre Clinic | Clinic/Center | 3111 Williamson County Pkwy, Office A3, Marion, IL 62959-5235 | 2017-01-09 |
| 1497116628 | Centerstone of Illinois | Counselor | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2016-03-16 |
| 1346619442 | Janice Fisher | Licensed Practical Nurse | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2015-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053651968 | Lori Jean Hesselink | Registered Nurse | 23563 100th Ave, Marion, MI 49665-8118 | 2013-03-01 |
| 1700063476 | Cheryl L. Snipes | Registered Nurse | 1104 Lombardy St, Marion, SC 29571-2005 | 2008-01-24 |
| 1730379272 | Robin Ann Siefker | Registered Nurse | 125 Executive Dr, Suite 201, Marion, OH 43302-6285 | 2007-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101420 | Alissa Nichole Thompson | Registered Nurse | 2541 W Belden Ave Apt 1, Chicago, IL 60647-0482 | 2020-07-09 |
| 1548892565 | Sonja K Negrean | Registered Nurse | 280 Shuman Blvd, Naperville, IL 60563-8492 | 2020-02-07 |
| 1134772353 | Theresa Jane Debord | Registered Nurse | 5835 State Route 154 # Address2, Pinckneyville, IL 62274-3418 | 2019-07-17 |
| 1740740653 | Cherise C Rosen | Registered Nurse | 110 Frank Lloyd Wright Ln, Oak Park, IL 60302-2616 | 2019-03-25 |
| 1821589706 | Virginie Nyancho | Registered Nurse | 1336 Court Leona, Hanover Park, IL 60133-5419 | 2018-05-25 |
| 1861848681 | Merry Carlson | Registered Nurse | 1120 N Farnsworth Ave Apt 1d, Aurora, IL 60505-2049 | 2016-05-11 |
| 1801210273 | Robie Victoria Hughes | Registered Nurse | 310 W Losey Street, Scott Air Force Base, IL 62225 | 2014-02-06 |
| 1215360763 | Debra A Foppe | Registered Nurse | 19125 State Route 127, Carlyle, IL 62231-5303 | 2013-08-19 |
| 1871817742 | Bente Clausen | Registered Nurse | 715 Lake St Ste 720, Oak Park, IL 60301-1416 | 2010-03-22 |
| 1477887032 | Susan Leann Lear | Registered Nurse | 1001 N Market St Ste 101, Mount Carmel, IL 62863-1945 | 2009-09-29 |
| Find all providers with the same taxonomy | ||||
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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.