DR. KELLIE M GRAY (NPI# 1700842838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700842838 |
| Entity Type | Individual |
| Full Name | DR. KELLIE M GRAY |
| Credential | D.C. |
| Practice Address |
17215 N 72nd Dr Suite 105 Glendale AZ 85308-8558 |
| Mailing Address |
24022 N 79th Dr Peoria AZ 85383-1626 |
| Practice Telephone | 6233344056 |
| Practice Fax Number | 6233344060 |
| Mailing Telephone | 6233344056 |
| Mailing Fax Number | 6233344060 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NI0900X |
Chiropractor Specialization: Internist |
4710 | AZ | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619493418 | Kellie Denise Gray | Nurse Practitioner | 3872 Plantation Ridge Dr, Addis, LA 70710-2180 | 2017-08-14 |
| Street Address |
17215 N 72ND DR SUITE 105 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-8558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215990262 | Kathy Crowley | Social Worker | 17215 N 72nd Dr, Suite D140, Glendale, AZ 85308-8558 | 2006-04-10 |
| 1891235636 | Shirley Foster | Counselor | 17215 N 72nd Dr, Glendale, AZ 85037 | 2017-02-27 |
| 1093254237 | Sierra Brianne Carroll | Counselor | 17215 N 72nd Dr, Glendale, AZ 85308-8558 | 2017-02-21 |
| 1720336324 | Kellie M Gray PC | Chiropractor | 17215 N 72nd Dr, Suite A105, Glendale, AZ 85308-8558 | 2012-08-29 |
| 1437422425 | Sun Valley Medical Group | Chiropractor | 17215 N 72nd Dr, Suite C-125, Glendale, AZ 85308-8558 | 2012-02-22 |
| 1902134844 | Leon Frederick Stroman | Massage Therapist | 17215 N 72nd Dr, Bldg. A, Suite 105, Glendale, AZ 85308-8558 | 2009-12-04 |
| 1134204126 | Scott Aaron Mitchell | Chiropractor | 17215 N 72nd Dr, Ste 105, Glendale, AZ 85308-8558 | 2006-10-26 |
| 1659474013 | Thomas Michael Mack | Dentist | 17215 N 72nd Dr, Ste A100, Glendale, AZ 85308 | 2006-09-07 |
| 1750307302 | Houshang Semino Mdpc | Psychiatry & Neurology | 17215 N 72nd Dr, Building D 140a, Glendale, AZ 85308-8558 | 2006-07-15 |
| 1467480798 | Margaret S. Friedman | Psychologist | 17215 N 72nd Dr, D-140a, Glendale, AZ 85308-8558 | 2006-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 111NI0900X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Internist |
| The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770756231 | Timothy Charles Gerhart | Chiropractor | 18301 N 79th Ave, Suite G-190, Glendale, AZ 85308-8463 | 2008-04-04 |
| 1013944842 | Daniel Duane Smith | Chiropractor | 16390 N 59th Ave, Suite 200, Glendale, AZ 85306 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528370657 | North Mesa Chiropractic LLC | Chiropractor | 1925 E Brown Rd Ste A1, Mesa, AZ 85203-5135 | 2010-07-06 |
| 1528204005 | Laurie A Farricielli Md, PC | Chiropractor | 6360 E. Thomas Rd., #218, Scottsdale, AZ 85251-7054 | 2009-01-05 |
| 1255584785 | Melody A. Holladay, D.c., Pllc | Chiropractor | 70 N Payne Pl, Suite 1, Sedona, AZ 86336-4536 | 2008-10-28 |
| 1558400754 | David Swan | Chiropractor | 1855 E Guadalupe Rd, Ste 112, Tempe, AZ 85283-3273 | 2007-02-05 |
| 1316966831 | Melody A. Holladay | Chiropractor | 450 Jordan Rd, Suite A, Sedona, AZ 86336-4166 | 2006-07-18 |
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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.