ANGELA MARIE GRAY (NPI# 1760031926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760031926 |
| Entity Type | Individual |
| Full Name | ANGELA MARIE GRAY |
| Practice Address |
322 Dewitt St Portage WI 53901-2114 |
| Mailing Address |
25 Kessel Ct Ste 105 Madison WI 53711-6227 |
| Practice Telephone | 6082802700 |
| Mailing Telephone | 6082802700 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
247966-30 | WI | Nursing Service Providers |
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
247966-30 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245898741 | Angela Gray | Technician | 154 Xenia St Se Apt 202, Washington, DC 20032-6137 | 2019-05-31 |
| 1992234355 | Angela Gray | Specialist | 3941 Amanda Court, Birmingham, AL 35215 | 2017-06-08 |
| 1972855310 | Angela Gray | Counselor | 6501 Broadway Ext, Suite 180, Oklahoma City, OK 73116-8239 | 2012-10-09 |
| 1831213024 | Angela Marie Gray | Pharmacist | 316 E Highway 20, Oneill, NE 68763-2104 | 2007-03-16 |
| 1740201367 | Angela Eileen Gray | Social Worker | 1415 North Loop W Ste 1060, Houston, TX 77008-1664 | 2006-07-21 |
| 1346275690 | Angela Howard Gray | Dentist | 405 Hwy 11 North, Des Arc, AR 72040 | 2006-07-12 |
| 1811240096 | Angela Desiree Gray | Psychologist | 400 Brandon Ave, Charlottesville, VA 22903-3310 | 2012-10-24 |
| 1265708309 | Angela Gray | Registered Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2012-03-22 |
| 1306123567 | Angela M Gray | Counselor | 321 N State College Blvd, Anaheim, CA 92806-2915 | 2011-11-15 |
| 1629363502 | Angela Denean Gray | Pharmacist | 2460 Prince William Pkwy, T-0759, Woodbridge, VA 22192-4148 | 2011-06-18 |
| Street Address |
322 DEWITT ST |
| City | PORTAGE |
| State | WI |
| Zip Code | 53901-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952654162 | Kristin Ranum | Social Worker | 322 Dewitt St, Portage, WI 53901-2114 | 2012-10-25 |
| 1407489917 | Olivia Kessler | Counselor | 322 Dewitt St, Portage, WI 53901-2114 | 2020-02-13 |
| 1497301790 | Rachel Morris | Case Manager/Care Coordinator | 322 Dewitt St, Portage, WI 53901-2114 | 2019-08-13 |
| 1609361401 | Deanna Lynn Houck I | Case Manager/Care Coordinator | 322 Dewitt St, Portage, WI 53901-2114 | 2018-06-25 |
| 1740778935 | Sarah Lynn Niles | Social Worker | 322 Dewitt St, Portage, WI 53901-2114 | 2018-04-24 |
| 1659890416 | Stacy Marie Carlson | Counselor | 322 Dewitt St, Portage, WI 53901-2114 | 2017-09-13 |
| 1558896654 | Jessica Sailor | Counselor | 322 Dewitt St, Portage, WI 53901-2114 | 2017-04-26 |
| 1649705740 | Lindsay Woodbridge | Counselor | 322 Dewitt St, Portage, WI 53901-2114 | 2017-04-26 |
| 1295273068 | Theresa Tonn | Case Manager/Care Coordinator | 322 Dewitt St, Portage, WI 53901-2114 | 2017-02-01 |
| 1962947515 | Amy Lynn Mattson | Registered Nurse | 322 Dewitt St, Portage, WI 53901-2114 | 2017-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740710748 | Robert James Corliss | Internal Medicine | St. Vincent Fmc, 140east Cook St., Portage, WI 53901 | 2017-06-13 |
| 1639328867 | Casey Jo Ambort | Speech-Language Pathologist | 626 East Slifer St, Portage, WI 53901 | 2008-09-11 |
| 1871767400 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 132 W. Cook St., Portage, WI 53901 | 2008-04-15 |
| 1881872158 | Marta Jean Jindra | Physical Therapist | 626 E Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1699953976 | Lana Marie Edwards | Speech-Language Pathologist | 626 East Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1134314552 | Kristina Hellenbrand | Physical Therapist | 2639 New Pinery Road, Suite 2, Portage, WI 53901 | 2007-09-10 |
| 1689727810 | Gregory Allan Bindl | Chiropractor | 2121new Pinery Rd, Portage, WI 53901 | 2007-01-19 |
| 1720149156 | Timothy J Rosin Dds Sc | Dentist | 2570 New Pinery Rd, Portage, WI 53901 | 2006-12-12 |
| 1710083779 | Currani Seubert Dental Office LLC | Dentist | 260 W Cook St, Portage, WI 53901 | 2006-09-16 |
| 1225090525 | University of Wisconsin Medical Foundation Inc | Durable Medical Equipment & Medical Supplies | 2977 Cty Hwy Cx, Portage, WI 53901 | 2006-04-04 |
| Find all providers in zip 53901 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952766974 | Joan M Ruch | Registered Nurse | 702 Front Street, Spooner, WI 54801 | 2015-12-17 |
| 1033574108 | Kathleen Ann Thom | Registered Nurse | 702 N. Front Street, Spooner, WI 54871 | 2015-12-16 |
| 1861807877 | Loretta Shem | Registered Nurse | 499 Manning Way, Lake Geneva, WI 53147-2084 | 2014-06-27 |
| 1326396342 | Kristen H. Bachman | Registered Nurse | 5946 N Bay Ridge Ave, Milwaukee, WI 53217-4603 | 2012-08-23 |
| 1710073218 | Kathy D Cox | Registered Nurse | Twin Ports Clinic Va, 3520 Tower Ave., Superior, WI 54880 | 2006-10-04 |
| 1952413122 | Carol A Estherchild | Registered Nurse | 9455 W. Watertown Plank Road, Milwaukee County Behavioral Health Division, Milwaukee, WI 53226-3559 | 2006-08-31 |
| 1073548327 | Mary Katherine Cefalu | Registered Nurse | 17 S. River, Suite 254, Janesville, WI 53548 | 2006-07-12 |
| 1083688295 | Staci S O'dell | Registered Nurse | Healthcare for The Homeless of Milwaukee, Inc, 210 West Capitol Drive, Milwaukee, WI 53212 | 2006-02-14 |
| 1457950263 | Theresa Scheuermann | Registered Nurse | 802 E Gorham St, Madison, WI 53703-1524 | 2020-10-22 |
| 1194339424 | Ace Mentality | Registered Nurse | 2810 Crossroads Dr Ste 4000, Madison, WI 53718-8014 | 2020-09-03 |
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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.