BONNIE GRAY (NPI# 1144574757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144574757 |
| Entity Type | Individual |
| Full Name | BONNIE GRAY |
| Practice Address |
4034 N 18th St 3535 N 50th Street Milwaukee WI 53209-6802 |
| Mailing Address |
4034 N 18th St Milwaukee WI 53209-6802 |
| Practice Telephone | 4144495814 |
| Practice Fax Number | 4144456977 |
| Mailing Telephone | 4144495814 |
| Mailing Fax Number | 4144456977 |
| Enumeration Date | 2012-11-04 |
| Last Update Date | 2012-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171W00000X | Contractor | Other Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790208767 | Bonnie A. Gray | Psychologist | 9000 E Chaparral Rd, Scottsdale, AZ 85256-2625 | 2017-07-21 |
| 1053892968 | Bonnie Gray | Occupational Therapy Assistant | 2841 Thousand Acres Rd, Delanson, NY 12053-1917 | 2018-08-28 |
| 1982098638 | Bonnie Gray | Counselor | 6013 S Redwood Rd, Taylorsville, UT 84123 | 2015-03-20 |
| 1093939787 | Bonnie Gray | Social Worker | 10992 San Diego Mission Rd, San Diego, CA 92108-2444 | 2007-04-12 |
| 1710926050 | Bonnie Lee Gray | Psychologist | 241 Cleveland Ave S, Suite P, Saint Paul, MN 55105-1208 | 2006-06-05 |
| Street Address |
4034 N 18TH ST 3535 N 50TH STREET |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53209-6802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Find all providers in zip 53209 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996518 | Prevale S Mclin | Case Manager/Care Coordinator | 6096 N Hopkins St, Milwaukee, WI 53209-3558 | 2020-09-09 |
| 1538771712 | Monet Smith | Case Manager/Care Coordinator | 5831 W Burleigh St, Milwaukee, WI 53210-1517 | 2020-08-19 |
| 1174131973 | Dakisha Delaney | Case Manager/Care Coordinator | 2456 N 41st St, Milwaukee, WI 53210-2932 | 2020-07-17 |
| 1528686342 | Dejuana Farmer | Case Manager/Care Coordinator | 2868 N 41st St, Milwaukee, WI 53210-1810 | 2020-07-08 |
| 1720600836 | Tiny Miracles Doula Services Inc | Case Manager/Care Coordinator | 4738 W Lisbon Ave Ste 7, Milwaukee, WI 53208-1127 | 2020-05-12 |
| 1700410362 | Annie P Robinson | Case Manager/Care Coordinator | 2142 N 15th St, Milwaukee, WI 53205-1209 | 2020-02-23 |
| 1932732682 | Austiana Jackson | Case Manager/Care Coordinator | 4555 N 65th St, Milwaukee, WI 53218-5508 | 2020-02-20 |
| 1891334132 | Blessed Hands Prenatal Services | Case Manager/Care Coordinator | 3755 N 49th St, Milwaukee, WI 53216-2912 | 2020-01-03 |
| 1730725656 | Lekecia Ferguson | Case Manager/Care Coordinator | 7970 W Glendbrook Rd, Milwaukee, WI 53223 | 2019-11-26 |
| 1124663299 | C Renee Consulting and Management Group | Case Manager/Care Coordinator | 6090 N 35th St Ste 204, Milwaukee, WI 53209-3602 | 2019-11-13 |
| Find all providers in MILWAUKEE | ||||
Please comment or provide details below to improve the information on BONNIE GRAY.
| 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.