Individual provider Active NPI

Natasha Gray, DNP

  • Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1023537263
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CP001268 Issued in SD
Practice address
18699 N 67TH Ave Ste 120
Glendale, AZ 85308-7141
Phone
(888) 402-7256
NPI assigned
Sep 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CP001268 SD Primary
Nurse Practitioner 363L00000X TEMP308456 AZ

Addresses

Primary practice location

18699 N 67TH Ave Ste 120
Glendale, AZ 85308-7141

Mailing address

15564 229TH St
Box Elder, SD 57719-8032
Phone (605) 209-0301

Other practice location 1

2805 5th St
Rapid City, SD 57701-6003
Phone (605) 755-5700

Other identifiers 1

IdentifierTypeStateIssuer
CP001268OtherSDSD BON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240705002529 AZ Practitioner - Nurse Practitioner 6002173291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Practice addresses (Care Compare)

18699 N 67TH Ave
Suite 120
Glendale, AZ 85308-7141
Phone (623) 242-1231

Hospital & facility affiliations

  • Abrazo West Campus Hospital, Goodyear, AZ, CCN 030110
  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
TEMP308456AZMDNurse Practitioner
CP001268SDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Outpatient Clinics, Inc. CurrentSince Jun 20, 2024 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Jun 20, 2024 Accepting new patients

Locations

18699 N 67th Ave
Ste 120
Glendale, AZ 85308
Phone (602) 298-8888

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

1355 N Litchfield Rd
Goodyear, AZ 85395
Phone (623) 848-5700

1325 N Litchfield Rd
Ste 125
Goodyear, AZ 85395
Phone (480) 420-0749

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

2122 E Highland Ave
Ste 100
Phoenix, AZ 85016
Phone (480) 372-2111

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

Interoperability endpoints

  • Direct secure messaging: natasha.gray.1@600.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1023537263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15564 229TH ST",
            "city": "BOX ELDER",
            "state": "SD",
            "postal_code": "577198032",
            "telephone_number": "605-209-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18699 N 67TH AVE STE 120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087141",
            "telephone_number": "888-402-7256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2805 5th St",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577016003",
            "country_code": "US",
            "telephone_number": "605-755-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "NATASHA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP001268",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "TEMP308456",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD BON",
            "identifier": "CP001268",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.