AMBER GRAY (NPI# 1144637729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144637729 |
| Entity Type | Individual |
| Full Name | AMBER GRAY |
| Credential | RN |
| Practice Address |
1604 Visa Dr. Ste 2 Normal IL 61761 |
| Mailing Address |
1604 Visa Dr Ste 2 Normal IL 61761 |
| Practice Telephone | 3098464716 |
| Practice Fax Number | 3094547348 |
| Mailing Telephone | 3098464716 |
| Mailing Fax Number | 3094547348 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 041.358973 | IL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457903734 | Amber Gray | Specialist | 1321 S John Redditt Dr, Lufkin, TX 75904-4367 | 2019-07-16 |
| 1376046235 | Amber Gray | Behavior Technician | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2018-03-16 |
| 1104377407 | Amber L Gray | Social Worker | 1501 Crocker St, Suite 1, Houston, TX 77019-4340 | 2016-10-21 |
| 1760939870 | Amber Gray | Student in an Organized Health Care Education/Training Program | 1206 York Rd, Lutherville Timonium, MD 21093-6217 | 2016-09-07 |
| 1841646411 | Amber Gray | Case Manager/Care Coordinator | 1705 Felicia Ave, Tallulah, LA 71282 | 2016-05-12 |
| 1679983860 | Amber Lynn Gray | Counselor | 1380 Howard St Fl 1, San Francisco, CA 94103-2638 | 2014-04-28 |
| Street Address |
1604 VISA DR. STE 2 |
| City | NORMAL |
| State | IL |
| Zip Code | 61761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699968602 | Anastasia Seeram | Physician Assistant | 1604 Visa Dr., Ste 1, Normal, IL 61761 | 2007-08-22 |
| 1003478553 | Reed William Walters | Specialist/Technologist, Other | 1604 Visa Dr., Ste. 1, Normal, IL 61761 | 2019-07-05 |
| 1700327228 | Ashleigh Thompson | Specialist/Technologist, Other | 1604 Visa Dr., Ste. 1, Normal, IL 61761 | 2017-03-16 |
| 1447631239 | Michael A Hoeft | Registered Nurse | 1604 Visa Dr., Ste 2, Normal, IL 61761 | 2015-06-17 |
| 1851770713 | Kara Lyn Mace | Licensed Practical Nurse | 1604 Visa Dr., Ste. 2, Normal, IL 61761 | 2015-05-26 |
| 1639567902 | Stephanie Jo Layne | Specialist/Technologist, Other | 1604 Visa Dr., Ste. 2, Normal, IL 61761 | 2015-01-08 |
| 1306253307 | Kayla Coonrat | Licensed Practical Nurse | 1604 Visa Dr., Ste 2, Normal, IL 61761 | 2014-07-22 |
| 1043627045 | Brenda Gregory | Licensed Practical Nurse | 1604 Visa Dr., Ste. 2, Normal, IL 61761 | 2014-07-22 |
| 1336556919 | Tonja Huff | Licensed Practical Nurse | 1604 Visa Dr., Ste. 2, Normal, IL 61761 | 2014-07-16 |
| 1326455908 | Kari Endres | Licensed Practical Nurse | 1604 Visa Dr., Ste. 2, Normal, IL 61761 | 2014-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
| Find all providers in zip 61761 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093124927 | Sarah Strode | Licensed Practical Nurse | 1604 Visa Dr. St, Ste. 2, Normal, IL 61761 | 2014-08-05 |
| 1851770713 | Kara Lyn Mace | Licensed Practical Nurse | 1604 Visa Dr., Ste. 2, Normal, IL 61761 | 2015-05-26 |
| 1306253307 | Kayla Coonrat | Licensed Practical Nurse | 1604 Visa Dr., Ste 2, Normal, IL 61761 | 2014-07-22 |
| 1043627045 | Brenda Gregory | Licensed Practical Nurse | 1604 Visa Dr., Ste. 2, Normal, IL 61761 | 2014-07-22 |
| 1336556919 | Tonja Huff | Licensed Practical Nurse | 1604 Visa Dr., Ste. 2, Normal, IL 61761 | 2014-07-16 |
| 1326455908 | Kari Endres | Licensed Practical Nurse | 1604 Visa Dr., Ste. 2, Normal, IL 61761 | 2014-07-16 |
| 1316354996 | Robin Billingsley | Licensed Practical Nurse | 1604 Visa Dr., Ste. 2, Normal, IL 61761 | 2014-07-16 |
| 1164839742 | Christie M Little | Licensed Practical Nurse | 1604 Visa Dr., Ste. 2, Normal, IL 61761 | 2014-07-16 |
| 1447667027 | Phyllis Wilkinson | Licensed Practical Nurse | 1604 Visa Dr, Ste 2, Normal, IL 61761 | 2014-07-16 |
| 1629043385 | Margaret K Starr | Licensed Practical Nurse | 2200 Fort Jesse Rd, Ste 240, Normal, IL 61761-6286 | 2006-02-17 |
| Find all providers in NORMAL | ||||
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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.