Shelia A Gray

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

9609 Grays Lake CV
Cordova, TN 38018-7770

Phone

(901) 786-2963

Fax

(901) 758-8374

NPI assigned

Oct 1, 2019

Last updated

Oct 1, 2019By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1013558105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9609 GRAYS LAKE CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187770",
            "telephone_number": "901-786-2963",
            "fax_number": "901-758-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9609 GRAYS LAKE CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187770",
            "telephone_number": "901-786-2963",
            "fax_number": "901-758-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SHELIA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "graynassoc@outlook.com",
            "affiliation": "N",
            "endpointDescription": "graynassoc@outlook.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Private Provider",
            "address_1": "9609 Grays Lake Cv",
            "city": "Cordova",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380187770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Alexa Green
• Kevin Bernard Green
• Margaret Pohlman Green
• Olivia Dawn Green, COTA/L

• Homemaker in Cordova, TN
• Providers in Cordova, TN by specialty
• Homemaker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.