MRS. BETHANY GAYLE WRAY (NPI# 1144636481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144636481 |
Entity Type | Individual |
Full Name | MRS. BETHANY GAYLE WRAY |
Credential | FNP |
Practice Address |
1731 Connelly Springs Rd Lenoir NC 28645-7827 |
Mailing Address |
Po Box 751069 Charlotte NC 28275-1069 |
Practice Telephone | 8287576300 |
Enumeration Date | 2014-07-08 |
Last Update Date | 2020-07-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5006973 | NC | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
235480 | NC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 1144636481 | 05 | |
NC | BCBSNC | 189TZ | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
628 E 12th St, Washington, NC 278893409 | 2529754319 | 2529754826 |
Street Address |
1731 CONNELLY SPRINGS RD |
City | LENOIR |
State | NC |
Zip Code | 28645-7827 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578591988 | John D Powell | Family Medicine | 1731 Connelly Springs Rd, Lenoir, NC 28645-7827 | 2006-06-28 |
1538726047 | Megan Guest | Nurse Practitioner | 1731 Connelly Springs Rd, Lenoir, NC 28645-7827 | 2019-05-21 |
1013483676 | Katrina Brookshire Bell | Registered Nurse | 1731 Connelly Springs Rd, Lenoir, NC 28645-7827 | 2018-10-22 |
1104096965 | April Curtis Jacob | Physician Assistant | 1731 Connelly Springs Rd, Lenoir, NC 28645-7827 | 2008-03-07 |
1417962150 | Caldwell Memorial Hospital, Inc | Internal Medicine | 1731 Connelly Springs Rd, Lenoir, NC 28645-7827 | 2006-07-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477174597 | Healthstat Onsite Clinic Mccreary Modern Plant 6 | Preventive Medicine | 2961 Rocky Road, Lenoir, NC 28645 | 2020-04-29 |
1912485780 | Brandi Fitzgerald Newell | Nurse Practitioner | 902 Kirkwood Street Nw, Lenoir, NC 28645 | 2018-08-02 |
1568911345 | Kimberly Fletcher | Physical Therapist | 1031 Morganton Blvd. Sw, Lenoir, NC 28645 | 2016-09-22 |
1093115743 | Dana May Yang | Pharmacist | 875 Blowing Road Blvd, Lenior, NC 28645 | 2014-08-31 |
1659780542 | Brinkley & Associates of Lenoir | Dentist | 230 Morganton Boulevard Sw, Lenoir, NC 28645 | 2014-08-05 |
1194148858 | Cheryl Ann Simpson | Contractor | 7951 Rocky Knob Rd, Lenoir, NC 28645 | 2014-01-30 |
1013266048 | Mccreary Cancer Center | Clinic/Center | 212 Mulberry Street Sw, Lenoir, NC 28645 | 2012-09-06 |
1356651145 | Anthony Kwasi Essien | Pharmacist | 102 Harper Ave., Lenoir, NC 28645 | 2010-10-14 |
1033344866 | Thomas J Young | Surgery | 401 Mulberry Street, Sw, Suite 202, Lenoir, NC 28645 | 2009-05-22 |
1821238155 | Mark C Kammer | Physical Therapist | 1041 Morganton Blvd, Ste 200, Lenoir, NC 28645 | 2009-02-26 |
Find all providers in zip 28645 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912485780 | Brandi Fitzgerald Newell | Nurse Practitioner | 902 Kirkwood Street Nw, Lenoir, NC 28645 | 2018-08-02 |
1073517041 | Malorie Susan Crawford | Nurse Practitioner | 322 Mulberry Street, Sw, Suite A, Lenoir, NC 28645-5703 | 2005-06-08 |
1649810284 | Teri Lee | Nurse Practitioner | 401 Mulberry St Sw Ste 101, Lenoir, NC 28645-5463 | 2020-01-12 |
1275011017 | Rachael Farish | Nurse Practitioner | 1345 Nc Highway 268, Lenoir, NC 28645-9027 | 2018-08-03 |
1467945063 | Yessica A Trapani | Nurse Practitioner | 401 Mulberry St Sw Ste 101, Lenoir, NC 28645-5463 | 2018-06-08 |
1437678836 | Kindra Littman | Nurse Practitioner | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2017-09-18 |
1407380504 | Mari Lee | Nurse Practitioner | 322 Mulberry St Sw, Lenoir, NC 28645-5702 | 2017-04-14 |
1093254567 | Kirsten Seals | Nurse Practitioner | 2651 Morganton Blvd Sw, Lenoir, NC 28645-8183 | 2017-02-16 |
1699122820 | Jena Wallace | Nurse Practitioner | 322 Mulberry St Sw Ste A, Lenoir, NC 28645-5703 | 2016-05-17 |
1639541469 | Heather Teanne Gragg | Nurse Practitioner | 1345 Nc Highway 268, Lenoir, NC 28645-9027 | 2015-10-20 |
Find all providers in LENOIR |
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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.