COURTNEY ROSE GRAY (NPI# 1215445622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215445622 |
| Entity Type | Individual |
| Full Name | COURTNEY ROSE GRAY |
| Other Name | COURTNEY ROSE POTTGEN |
| Credential | AGPCNP-BC |
| Practice Address |
1390 Us Highway 61 Ste N1500 Festus MO 63028 |
| Mailing Address |
1625 Shadow Oak Dr Festus MO 63028-3376 |
| Practice Telephone | 6369335055 |
| Mailing Telephone | 3144010111 |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2017040265 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 Us Highway 61 Ste 240b, Festus, MO 630284141 | 6369332344 | 6369379031 |
| 620 Maple Valley Dr, Farmington, MO 636401976 | 6369335055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912429473 | Courtney Leanne Gray | Specialist/Technologist | 319 Brown Ave, Rockford, IL 61103-4102 | 2017-07-16 |
| 1588988927 | Courtney Danielle Thomas Gray | Physical Therapist | 3535 Military Trl Ste 200, Jupiter, FL 33458-5009 | 2010-03-14 |
| 1972140630 | Courtney Gray | Nurse Practitioner | 2604 Saint Michael Dr Ste 345, Texarkana, TX 75503-2378 | 2019-12-02 |
| 1255832648 | Courtney Gray | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-02-22 |
| 1124562640 | Courtney Gray | Case Manager/Care Coordinator | 6701 Highway 67, Benton, AR 72015-8909 | 2016-12-19 |
| 1629512082 | Courtney Gray | Speech-Language Pathologist | 3240 Washington Rd, Suite 200, Mc Murray, PA 15317-3180 | 2016-12-05 |
| 1992143358 | Courtney Gray | Emergency Medicine | 3333 Springhill Dr, North Little Rock, AR 72117-2922 | 2013-06-07 |
| 1326381666 | Courtney Christine Gray | Nurse Anesthetist, Certified Registered | 255 Lafayette Ave, Anesthesia Office, Suffern, NY 10901-4812 | 2013-04-05 |
| 1730441122 | Courtney Gray | Occupational Therapist | 8117 Center Run Dr, Indianapolis, IN 46250-1945 | 2012-06-12 |
| 1720352420 | Courtney Elysha Gray | Chiropractor | 1281 Rte 113, Blooming Glen, PA 18911 | 2012-02-28 |
| Street Address |
1390 US HIGHWAY 61 STE N1500 |
| City | FESTUS |
| State | MO |
| Zip Code | 63028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811982754 | Pascal E. Gaudreault | Emergency Medicine | 1390 Us Highway 61 Ste N1500, Festus, MO 63028 | 2005-09-16 |
| 1821343179 | Sushruth Edla | Internal Medicine | 1390 Us Highway 61 Ste N1500, Festus, MO 63028-4137 | 2012-07-23 |
| 1265482509 | Dale E Doerr | Orthopaedic Surgery | 1390 Us Highway 61 Ste N1500, Festus, MO 63028-4137 | 2006-05-10 |
| 1538118575 | Paul Ramon Maynard | Orthopaedic Surgery | 1390 Us Highway 61 Ste N1500, Festus, MO 63028-4137 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943268 | Lauryn E Morris | Occupational Therapist | 3657 Baptist Park Rd, Mapaville, MO 63028 | 2019-10-09 |
| 1912557547 | Rena Robinson | Technician | 150 Brandon Wallace Way Suite 1014, Suite 1014, Festus, MO 63028 | 2019-09-16 |
| 1780232264 | Cynthia L James | Technician | 110 Juliet Place, Festus, MO 63028 | 2019-08-28 |
| 1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
| 1962869990 | Fatma Esen Antakli | Nurse Practitioner | Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 | 2016-01-21 |
| 1083088744 | Megan Schomer | Counselor | 2675 Meyer Rd, Festus, MO 63028 | 2015-11-18 |
| 1043608144 | Elka Follmer | Physical Therapist | 1349 Us Hwy 61, Festus, MO 63028 | 2014-12-26 |
| 1811394729 | Ashley Schwendeman | Physical Therapist | 1403 N. Truman Blvd, Fesuts, MO 63028 | 2014-11-21 |
| 1073871257 | Staurla Chantel Waun | Counselor | 10719 Buckeye Rd, Festus, MO 63028 | 2012-04-25 |
| 1639444086 | Jeffrey Steitz | Otolaryngology | 1390 Us Highway 61 Ste 3100, Festus, MO 63028 | 2012-03-19 |
| Find all providers in zip 63028 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861952756 | Kimberly Ranee Brown | Nurse Practitioner | 622 Collins Dr Ste 200, Festus, MO 63028-2077 | 2019-03-25 |
| 1528561370 | Linda Suzanne Basler | Nurse Practitioner | 1390 Us Highway 61 Ste 3300, Festus, MO 63028-4136 | 2018-03-16 |
| 1902278773 | Candice Crow | Nurse Practitioner | 1400 Us Highway 61 Ste G50, Festus, MO 63028-4142 | 2015-10-20 |
| 1053706556 | Zachary Vaugh | Nurse Practitioner | 1078 Eagle Valley Dr, Festus, MO 63028-1257 | 2015-04-01 |
| 1750338174 | Patricia M Sohn | Nurse Practitioner | 1390 Highway 61 # B, G-1000, Festus, MO 63028-4137 | 2006-05-30 |
| 1952708166 | Sarah Marie Buechting | Nurse Practitioner | 5 Industrial Dr, Festus, MO 63028-4105 | 2014-12-03 |
| 1457788192 | Ashliegh Marcella Mcgrath | Nurse Practitioner | 227 E Main St, Festus, MO 63028-1952 | 2013-09-26 |
| 1114269040 | Michele J Soest | Nurse Practitioner | 627 Westwood Dr S, Festus, MO 63028-2062 | 2013-03-18 |
| 1578816583 | Karen Lee Pfitzinger | Nurse Practitioner | 1390 Us Highway 61, Suite 3300, Festus, MO 63028-4137 | 2012-10-16 |
| 1952555005 | Manzoor Tariq, Inc. | Nurse Practitioner | 1071 Airport Rd, Festus, MO 63028-4103 | 2008-11-14 |
| Find all providers in FESTUS | ||||
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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.