KELLY B GRAY (NPI# 1346476165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346476165 |
| Entity Type | Individual |
| Full Name | KELLY B GRAY |
| Other Name | KELLY B REED |
| Credential | LCSW |
| Practice Address |
1233 W Poplar St Rogers AR 72756-4245 |
| Mailing Address |
614 E Emma Ave Ste 300 Springdale AR 72764-4469 |
| Practice Telephone | 4796369235 |
| Practice Fax Number | 4796310374 |
| Mailing Telephone | 4797517417 |
| Mailing Fax Number | 4797514898 |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2012-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 2642-C | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 177258795 | 05 | |
| AR | BCBS | 5AC40 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467951491 | Kelly L Gray | Registered Nurse | 21410 N 19th Ave Ste 114, Phoenix, AZ 85027-2755 | 2018-02-05 |
| 1114328242 | Kelly Gray | Massage Therapist | 7792 Patton Rd, Dane, WI 53529-9715 | 2014-09-08 |
| 1891043675 | Kelly Gray | Massage Therapist | 510 State Ave Ste 3, Hampton, IL 61256-9690 | 2012-08-27 |
| 1700145281 | Kelly Gray | Pharmacist | 16212 Monnet Place Ct, Charlotte, NC 28278-0099 | 2012-05-03 |
| 1366727133 | Kelly Gray | Pharmacist | 4605 Montgomery Road, Norwood, OH 45212 | 2011-10-12 |
| 1821312224 | Kelly Gray | Dietitian, Registered | 330 Shamrock Rd, Manchester, KY 40962-9201 | 2010-03-15 |
| 1811219736 | Kelly Gray | Pharmacist | 41 Albany Sreet, Cazenovia, NY 13035 | 2010-02-19 |
| 1417019076 | Kelly A. Gray | Physical Therapist | 42 E 32nd St, Bayonne, NJ 07002-4709 | 2006-12-13 |
| 1700346798 | Kelly Gray | Registered Nurse | 5231 Penn Ave Fl 1, Pittsburgh, PA 15224-1768 | 2019-03-25 |
| 1134511314 | Kelly Gray | Speech-Language Pathologist | 815 Triplett St, Owensboro, KY 42303-3564 | 2015-02-25 |
| Street Address |
1233 W POPLAR ST |
| City | ROGERS |
| State | AR |
| Zip Code | 72756-4245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386613503 | Ornette L Gaines | Family Medicine | 1233 W Poplar St, Rogers, AR 72756-4245 | 2006-03-17 |
| 1215536792 | Brittany N Akers | Nurse Practitioner | 1233 W Poplar St, Rogers, AR 72756-4245 | 2020-10-26 |
| 1629527940 | Emily Elaine Goucher | Nurse Practitioner | 1233 W Poplar St, Rogers, AR 72756 | 2016-09-28 |
| 1568825438 | Amy Randall | Pediatrics | 1233 W Poplar St, Rogers, AR 72756-4245 | 2016-03-30 |
| 1043694243 | Erin M Kwyzla | Nurse Practitioner | 1233 W Poplar St, Rogers, AR 72756-4245 | 2015-07-17 |
| 1821375668 | St Francis House Nwa, Inc | Audiologist | 1233 W Poplar St, Rogers, AR 72756-4245 | 2011-11-08 |
| 1225292592 | Karyn Denise Sherar | Nurse Practitioner | 1233 W Poplar St, Rogers, AR 72756-4245 | 2008-07-15 |
| 1710160098 | St. Francis House Nwa, Inc. | Clinic/Center | 1233 W Poplar St, Rogers, AR 72756-4245 | 2007-12-10 |
| 1154406486 | Nettie Ann Kinsey | Nurse Practitioner | 1233 W Poplar St, Rogers, AR 72756-4245 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1669009049 | Keller Davis Sims | Physical Therapist | 2403 W Hudson Rd Ste, Ste 1, Rogers, AR 72756 | 2020-03-25 |
| 1437692720 | Ginah Brianne Porter | Counselor | 1108 Poplar Pl, Rogers, AR 72756 | 2016-11-18 |
| 1629404868 | Natalie Elizabeth Myers | Occupational Therapy Assistant | 1000 West Poplar St, Rogers, AR 72756 | 2013-09-19 |
| 1295081529 | Aaron Lee Matthews Sr. | Counselor | 411 W Poplar St., Rogers, AR 72756 | 2012-07-24 |
| 1538420286 | Allison R Corter | Speech-Language Pathologist | 1000 W. Poplar St, Rogers, AR 72756 | 2012-05-30 |
| 1871859496 | Fisher Denture & Dental Care | Dentist | 4404 W. Walnut, Suite 2, Rogers, AR 72756 | 2012-04-09 |
| 1407130487 | Timeni Strauss | Occupational Therapy Assistant | 1000 W. Poplar Street, Rogers, AR 72756 | 2011-10-07 |
| 1316192768 | William Barton Tate | Obstetrics & Gynecology | 1233 Poplar Pl, Rogers, AR 72756 | 2008-11-27 |
| 1093905069 | Sunshine School & Development Center | Day Training, Developmentally Disabled Services | 3400 Woods Lanee, Rogers, AR 72756 | 2007-07-26 |
| Find all providers in zip 72756 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841236189 | Debra Kay Bauer | Social Worker | 204 S 24th St, Rogers, AR 72758-1129 | 2006-06-22 |
| 1265046882 | Anna Beth Cone | Social Worker | 1106 Poplar Pl., Rogers, AR 72756 | 2020-09-01 |
| 1194343947 | Sarah Runnells | Social Worker | 1106 Poplar Pl, Rogers, AR 72756-4249 | 2020-07-08 |
| 1912530692 | Abby Mix | Social Worker | 101 W Walnut St Ste C, Rogers, AR 72756-6662 | 2020-02-20 |
| 1558929794 | Dorothy Ann Ashmore | Social Worker | 1108 Poplar Pl, Rogers, AR 72756-4249 | 2019-06-03 |
| 1629543293 | Catherine Jane Harden | Social Worker | 14115 James Rd Ste 305, Rogers, MN 55374-9417 | 2018-10-09 |
| 1326536822 | Daisy Bonilla | Social Worker | 1200 W Walnut St Ste 3100, Rogers, AR 72756-3524 | 2018-04-30 |
| 1407217532 | Summer Glass | Social Worker | 1200 W Walnut St, Suite 1400, Rogers, AR 72756-3521 | 2016-03-17 |
| 1336554849 | Lauren Mcdaniel | Social Worker | 1200 W Walnut St Ste 1400, Rogers, AR 72756-3598 | 2014-06-23 |
| 1477965044 | Shelbi K Dawson | Social Worker | 3300 S Market St Ste 118, Rogers, AR 72758-8127 | 2014-05-29 |
| Find all providers in ROGERS | ||||
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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.