Caroline Jean Gray, R.N.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

122492 Issued in OH

Practice address

2151 Rush Blvd
Youngstown, OH 44507-1535

Phone

(330) 744-1181

Fax

(330) 746-3353

NPI assigned

May 15, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1463270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463270400000",
    "number": "1013364587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 RUSH BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445071535",
            "telephone_number": "330-744-1181",
            "fax_number": "330-746-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 RUSH BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445071535",
            "telephone_number": "330-744-1181",
            "fax_number": "330-746-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "CAROLINE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-15",
        "last_updated": "2016-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "122492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyra Grant, B.S.
• William Grant
• Kristen Graul
• Micheal David Graves, LPN
• Raven Graves, LPC
• Jenna K. Gray, CRNA
• Joseph A Graziano, MD
• Great Steps ABA LLC
• Keegan J Greathouse
• Marlana Greathouse, BCBA

• Clinic/Center in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2016; 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.