DR. LISA MARIE GRAY (NPI# 1326440439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326440439 |
| Entity Type | Individual |
| Full Name | DR. LISA MARIE GRAY |
| Credential | DNP |
| Practice Address |
1650 Cochrane Cir Fort Carson CO 80913-4613 |
| Practice Telephone | 7195267061 |
| Practice Fax Number | 7195267132 |
| Mailing Telephone | 7195267061 |
| Mailing Fax Number | 7195267132 |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2016-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
C-APN.0000410-C- | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
268905 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1326440439 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669030045 | Lisa Gray | Social Worker | 2 Center St Apt 498, Newark, NJ 07102-4563 | 2019-05-31 |
| 1992228852 | Lisa Michelle Gray | Marriage & Family Therapist | 1062 Murrieta Blvd, Livermore, CA 94550-4111 | 2017-07-24 |
| 1437531803 | Lisa Gray | Marriage & Family Therapist | 3841 Pillsbury Ave S, Minneapolis, MN 55409-1222 | 2015-06-22 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1457788978 | Lisa Marie Gray | Pharmacist | 276 Woodsfield Ct, Powell, OH 43065-8906 | 2013-09-29 |
| 1053755751 | Lisa B Gray | Skilled Nursing Facility | 13550 S Outer Hwy Forty, Chesterfield, MO 63017 | 2013-04-24 |
| 1649411539 | Lisa Marie Gray | Surgery | 404 Hazen, Suite 101, Paw Paw, MI 49079-1040 | 2009-03-23 |
| 1336217538 | Lisa Jean Gray | Pharmacist | 121 Massachussetts Ave, Arlington, MA 02474 | 2006-12-04 |
| 1871105346 | Lisa Gray | Counselor | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-08-17 |
| 1528683570 | Lisa Gray | Massage Therapist | 20119 S Prairie Rd E, Bonney Lake, WA 98391-7935 | 2020-06-15 |
| Street Address |
1650 COCHRANE CIR |
| City | FORT CARSON |
| State | CO |
| Zip Code | 80913-4613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899780 | Jonathan Tyler Froshaug | Student in an Organized Health Care Education/Training Program | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2020-07-27 |
| 1841809837 | Andrew Finn | Student in an Organized Health Care Education/Training Program | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2020-07-27 |
| 1750999512 | Vimarys Leiwalo | Nurse Anesthetist, Certified Registered | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2020-07-17 |
| 1184263683 | John Rising | Pharmacist | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-12-31 |
| 1215595665 | Jonathan Maten | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-31 |
| 1053979401 | Daniel Matthes | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-31 |
| 1114585569 | Adam Clements | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-31 |
| 1619532520 | Savanna Ann Klippel | Nurse Practitioner | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-06 |
| 1689139057 | John Nunn | Family Medicine | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-02-09 |
| 1326512781 | Joshua Hickman | Physician Assistant | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651498 | Christopher M Juneau | Physical Therapist | Us Air Force/ Fort Carson, 8420 Skyraider Rd, Colorado Springs, AA 80913 | 2020-08-28 |
| 1003433640 | Denise Marie Cacho | Dentist | Smith Dental Clinic, 2280 Hogan St. Blgd 1561, Fort Carson, CO 80913 | 2020-06-30 |
| 1497378053 | Ivan Sergeyevich Koutsopatriy | Dentist | Us Army Dental Health Activity 1667 Cochrane Circle, Bldg 7495, Fort Carson, CO 80913 | 2020-05-18 |
| 1396293478 | Kayla Howerton | Audiologist | 8901 Wetzel Ave, Bldg 1525, Fort Carson, CO 80913 | 2016-09-16 |
| 1922472125 | Danell Pugh | Social Worker | Bldg 1657, Fort Carson, CO 80913 | 2015-11-25 |
| 1750761136 | Colin Michael Kenny | Internal Medicine | Evans Army Community Hospital. 1650 Cochrane Cir B7500, Fort Carson, CO 80913 | 2015-06-01 |
| 1740689736 | Rachel Edwards | Speech-Language Pathologist | Evans Community Hospital, 1650 Cochrane Circle, Fort Carson, CO 80913 | 2014-08-15 |
| 1841617859 | Douglas Foote | Social Worker | 1657 Prussman, Ft. Carson, CO 80913 | 2014-03-27 |
| 1649619396 | Brigette Marie Grimes | Dietitian, Registered | Building 1435, 4th Infantry Division, Division Surgeon, Fort Carson, CO 80913 | 2013-06-17 |
| 1467895318 | Evans Army Community Hospital | Clinic/Center | Bldg 2361 Titus Blvd, Ft Carson, CO 80913 | 2013-04-10 |
| Find all providers in zip 80913 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679677371 | Cynthia J Whitaker | Nurse Practitioner | Warrior Clinic, Titus Avenue, Fort Carson, CO 80913-0463 | 2006-09-12 |
| 1851334353 | Mary J Cunico-lowery | Nurse Practitioner | 7500 Cochrane Circl, Fort Carson, CO 80913-4604 | 2006-06-13 |
| 1619532520 | Savanna Ann Klippel | Nurse Practitioner | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2019-05-06 |
| 1770066623 | Olamipo Adekoya | Nurse Practitioner | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2018-09-06 |
| 1144776436 | Claudia Martial | Nurse Practitioner | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2016-08-28 |
| 1629461496 | Crystal Bell | Nurse Practitioner | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2015-03-18 |
| 1205229135 | Mary C. Sanders | Nurse Practitioner | 1650 Cochrane Cir, Building 7505, Fort Carson, CO 80913-4604 | 2015-03-17 |
| 1316336092 | Stephanie Hayes Robinson | Nurse Practitioner | 1650 Cochrane Cir # B7500, Fort Carson, CO 80913 | 2015-01-18 |
| 1659772473 | April L. Thomas | Nurse Practitioner | 1650 Cochrane Cir, Fort Carson, CO 80913 | 2014-09-11 |
| 1184054348 | Fadzai Chiwandamira | Nurse Practitioner | 1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913-4604 | 2013-11-25 |
| Find all providers in FORT CARSON | ||||
| City | FORT CARSON |
| Zip Code | 80913 |
Please comment or provide details below to improve the information on DR. LISA MARIE 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.