MRS. TYRA TAMEKA GRAY


Address: 225 Lodestone Dr, Durham, NC 27703-6634
Phone: 9197249603

MRS. TYRA TAMEKA GRAY (NPI# 1639728801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639728801
Entity Type Individual
Full Name MRS. TYRA TAMEKA GRAY
Credential NP-C
Practice Address 225 Lodestone Dr
Durham
NC 27703-6634
Practice Telephone 9197249603
Mailing Telephone 9197249603
Enumeration Date 2019-09-10
Last Update Date 2019-09-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F08190566 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 225 LODESTONE DR
City DURHAM
State NC
Zip Code 27703-6634

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1033621719 Duke University Preventive Medicine 4825 Creekstone Drive, Suite 105, Durham, NC 27703 2017-11-02
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1487194171 Shivani L. Chudasama Social Worker 5475 Lumley Rd Ste 103, Durham, NC 27703 2017-03-01
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1780032821 Victory Speech Therapy Services, Pllc Speech-Language Pathologist 1533 Ellis Rd., Apt J208, Durham, NC 27703 2016-05-31
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245830215 Whitney Rains Taheri Nurse Practitioner 3004 Tower Blvd, Durham, NC 27707-2542 2020-10-29
1306460340 Francia Elena Marin Nurse Practitioner 6009 Garrett Rd, Durham, NC 27707-5349 2020-06-05
1154959658 Allyson Kaye-winston Scott Nurse Practitioner 108 Oakmont Ave, Durham, NC 27713-1558 2020-03-30
1245866235 Rosalyn Carson Nurse Practitioner 3710 Shannon Rd # 52570, Durham, NC 27707-6327 2020-03-21
1730726498 Georgia Darby Smith Nurse Practitioner 20 Duke Medicine Circle Clinic 2-2 Gyn-oncology, Durham, NC 27710-0001 2019-12-02
1134781453 Godwin C Nweke Nurse Practitioner 3632 Ranbir Dr, Durham, NC 27713-1793 2019-07-08
1114586948 Hadja Thiam Nurse Practitioner 40 Medicine Circle Clinic 2b, Durham, NC 27710-0001 2019-06-05
1649764846 Kelly Johanna Valencia Nurse Practitioner 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 2018-06-20
1013434257 Stephanie Howard Spaulding Nurse Practitioner 40 Duke Medical Cir # 1j, Durham, NC 27710-3006 2017-08-28
1144746017 Mh Health Care Services, PC Nurse Practitioner 5003 S Miami Blvd, Durham, NC 27703-8588 2017-08-22
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Competitor

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City DURHAM
Zip Code 27703

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Dataset Information

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.

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