Emily Michelle Gray

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

704285810 Issued in MI

Practice address

19725 W 12 Mile Rd
Southfield, MI 48076-2584

Phone

(248) 678-5117

Fax

(248) 658-8777

NPI assigned

Apr 12, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Emily Michelle Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1003313370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30060 HATHAWAY ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503092",
            "telephone_number": "734-578-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19725 W 12 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762584",
            "telephone_number": "248-678-5117",
            "fax_number": "248-658-8777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30060 Hathaway St",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481503092",
            "country_code": "US",
            "telephone_number": "734-578-8074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "EMILY",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MI",
            "license": "704285810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "SMITH",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Gravina, P.A.
• Gravity Laboratories, LLC
• Breonha Gray
• Connor Gray
• Denise Gray, MD
• Karen E Gray, MSN, RN, CS, ONC
• Leanora T Gray, LLC, NCC
• Precious Gray
• Brenna Grazioli
• Great American Associates LLC

• Critical Care Medicine Registered Nurse in Southfield, MI
• Providers in Southfield, MI by specialty
• Critical Care Medicine Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.