Jasmine Tremell Gray, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

TP936 Issued in KY

Practice address

10032 Demia Way
Florence, KY 41042-4734

Phone

(859) 647-6700

Fax

(859) 372-6362

NPI assigned

Apr 19, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19827/brand/1/csg/1/fhir/r4

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.

• CHMC Community Health Services Network

  • Pediatrics Physician
  • Cincinnati, OH
  • NPI 1245821271

  KY, Single Specialty

  Medicare reassignment NPD
• CHMC Community Health Services Network

  dba Children's Health Care

  • Pediatrics Physician
  • Batesville, IN
  • NPI 1053464305

  Single Specialty

  NPD (past)
• Detroit Wayne County Health Authority

  • Primary Care Clinic/Center
  • Detroit, MI
  • NPI 1962733089

  Single Specialty

  NPD (past)
• Partners in Wellness

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1518461524

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1033643721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 DOUGLAS AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405081073",
            "telephone_number": "859-396-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10032 DEMIA WAY",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424734",
            "telephone_number": "859-647-6700",
            "fax_number": "859-372-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JASMINE",
        "middle_name": "TREMELL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "TP936",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101025694",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Althea Granger, MSN
• Sarah Grant-Foster
• Cathy Marie Gratkowski, D.C.
• Marie E Graves, PT, DPT
• Bradley George Gray
• Great Outcomes Physical Therapy LLC
• Greater Cincinnati Transportation
• Christina K Green, M.D.
• Tonya Green, BS
• Lisa Gregory, BA

• Pediatrics Physician in Florence, KY
• Providers in Florence, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.