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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F08190566 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
225 LODESTONE DR |
City | DURHAM |
State | NC |
Zip Code | 27703-6634 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285235218 | Joseph Omalemigbo Abgateyiniro | Durable Medical Equipment & Medical Supplies | 1810 Shiva Court, Durham, NC 27703 | 2020-11-05 |
1326654278 | Step By Step In Home Care LLC | Home Health | Imperial Business Park, 4819 Emperor Blvd Suite 400, Durham, NC 27703 | 2020-09-16 |
1023598463 | Impact Therapy Services | Speech-Language Pathologist | 6 Winnabow Court, Durham, NC 27703 | 2018-08-15 |
1326536327 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 1100 N Miami Blvd Ste 500a, Durham, NC 27703 | 2018-04-25 |
1033621719 | Duke University | Preventive Medicine | 4825 Creekstone Drive, Suite 105, Durham, NC 27703 | 2017-11-02 |
1023535564 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3725 Wake Forest Hwy, Durham, NC 27703 | 2017-08-25 |
1487194171 | Shivani L. Chudasama | Social Worker | 5475 Lumley Rd Ste 103, Durham, NC 27703 | 2017-03-01 |
1356886030 | Rgh Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 4234 Surles Court, Suite 100, Durham, NC 27703 | 2017-01-04 |
1780032821 | Victory Speech Therapy Services, Pllc | Speech-Language Pathologist | 1533 Ellis Rd., Apt J208, Durham, NC 27703 | 2016-05-31 |
1124422373 | Helene Azimbi Fonebi | Pharmacist | 8 Gandhi Dr, Durham, NC 27703 | 2014-10-17 |
Find all providers in zip 27703 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
Find all providers in DURHAM |
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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.