Am Gray Consulting

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024173992 Issued in VA

Legal business name

AM GRAY CONSULTING

Doing business as

Reflections Image Center & Skincare Institute

Practice address

44125 Woodridge Pkwy
Suite 220
Leesburg, VA 20176-6839

Phone

(703) 539-6002

Fax

(703) 439-2829

NPI assigned

Nov 4, 2016

Last updated

Nov 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lasondra Gray

Title

Managing Member

Phone

(571) 337-3870

Specialties & licenses 2

Addresses

Other names 1

• Reflections Image Center & Skincare Institute Doing business as

Locations

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1033651203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44125 WOODRIDGE PKWY",
            "address_2": "SUITE 220",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766839",
            "telephone_number": "703-539-6002",
            "fax_number": "703-439-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44125 WOODRIDGE PKWY",
            "address_2": "SUITE 220",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766839",
            "telephone_number": "703-539-6002",
            "fax_number": "703-439-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AM GRAY CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "LASONDRA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "571-337-3870"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173992",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "28154063A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reflections Image Center & Skincare Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elaine Allsup, M. ED., BCBA
• Sediq Alokozai
• Ammar Alsahrawi
• Helen Rita Alspector, MS, CCC-SLP
• Emily Michelle Alvarez, FNP-C
• Christian Amalu, PSYD
• Mohammad Shariful Aman, D.M.D.
• Amanda Brown DDS & Walter Collazo DDS (The Herbert Dental Group)
• America's Best Contacts & Eyeglasses
• American Anesthesiology of Virginia, PC

• Family Nurse Practitioner in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.