MRS. JUDY KAY GRAY (NPI# 1174821870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174821870 |
| Entity Type | Individual |
| Full Name | MRS. JUDY KAY GRAY |
| Credential | LPN |
| Practice Address |
210 Missouri Ave Ctmc Fort Leonard Wood MO 65573 |
| Mailing Address |
23411 Teak Ln Saint Robert MO 65584-3259 |
| Practice Telephone | 5735961680 |
| Mailing Telephone | 5733364584 |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 046367 | MO | Nursing Service Providers |
| Street Address |
210 MISSOURI AVE CTMC |
| City | FORT LEONARD WOOD |
| State | MO |
| Zip Code | 65573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629682943 | Seong Jin Park | Dental Hygienist | 6958 Nebraska Ave Bldg 1608, Fort Leonard Wood, MO 65473-1618 | 2020-09-03 |
| 1770192759 | Clara Boo Chai | Physician Assistant | General Leonard Wood Army Community Hospital, 4430 Missouri Ave, #1267, Fort Leonard Wood, MO 65473 | 2020-07-27 |
| 1902437312 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | 143 Replacement Ave Ste B0011, Fort Leonard Wood, MO 65473-9092 | 2020-02-04 |
| 1023671849 | Maria Mercedes Dominguez | Marriage & Family Therapist | 124 Ellis St, Fort Leonard Wood, MO 65473-1148 | 2019-04-17 |
| 1982198453 | Traci Anne Shambo | Dental Hygienist | Bldg. 400 Virginia Ave, Fort Leonard Wood, MO 65473 | 2018-06-19 |
| 1316434277 | Kendra Jasmin Butcher | Dental Assistant | 5047 Virginia Ave Bldg 500, Fort Leonard Wood, MO 65473-9126 | 2018-04-17 |
| 1144720376 | Jolene Rene Mcqueen-kidwell | Social Worker | 4430 Missouri Ave # 1278, Fort Leonard Wood, MO 65473-9098 | 2018-02-14 |
| 1770093940 | Melissa Jean Willoughby | Occupational Therapist | 12225 Pulaski Ave, Fort Leonard Wood, MO 65473-1972 | 2017-10-02 |
| 1457870925 | Loretta Richter | Registered Nurse | 4430 Missouri Ave # 1258, Fort Leonard Wood, MO 65473-9098 | 2017-09-15 |
| 1144749789 | Riley Quan | Physical Therapist | 4430 Missouri Ave Rm 58, Fort Leonard Wood, MO 65473-9098 | 2017-09-14 |
| Find all providers in FORT LEONARD WOOD | ||||
| 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 |
|---|---|---|---|---|
| 1205138922 | Lillian Wolfe | Licensed Practical Nurse | 126 Missouri Ave # 1255, Usa Meddac Family Practice, Fort Leonard Wood, MO 65473-8952 | 2010-12-01 |
| 1821304072 | Corinna Lynn Anderson | Licensed Practical Nurse | 197 Replacement Ave, Suite 133, Fort Leonard Wood, MO 65473-9089 | 2010-08-26 |
| 1437678356 | Becky Jo White | Licensed Practical Nurse | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2017-09-12 |
| 1073032926 | Leaann Weddle | Licensed Practical Nurse | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2017-09-12 |
| 1982079687 | Annette Albin | Licensed Practical Nurse | 4430 Missouri Ave # 1263, Room 142 Eent Clinic, Fort Leonard Wood, MO 65473-9098 | 2015-12-07 |
| 1760772370 | Nichol Lorraine Roberts | Licensed Practical Nurse | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2011-04-15 |
| 1225328834 | Michelle Rene Harbert | Licensed Practical Nurse | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2011-04-15 |
| 1417255480 | Sherri Monteia Stephens | Licensed Practical Nurse | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2011-03-01 |
| 1164725636 | Shannon Starnes | Licensed Practical Nurse | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2010-12-06 |
| 1184926636 | Brenda C Beck | Licensed Practical Nurse | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2010-12-03 |
| Find all providers in FORT LEONARD WOOD | ||||
| City | FORT LEONARD WOOD |
| Zip Code | 65573 |
Please comment or provide details below to improve the information on MRS. JUDY KAY 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.