Wylea Marie Gray-Winfrey, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

PA020344 Issued in LA

Practice address

1217 Willow Glen River Rd
Alexandria, LA 71302-5454

Phone

(318) 487-4400

NPI assigned

May 14, 2007

Sex

Female

Sole proprietor

No

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.

• Bio-Medical Applications of Louisiana, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • New Orleans, LA
  • NPI 1790263697
  NPD (past)
• Excelth, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1710914049
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in LA

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043425796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 WILLOW GLEN RIVER RD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713025454",
            "telephone_number": "318-487-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 WILLOW GLEN RIVER RD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713025454",
            "telephone_number": "318-487-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY-WINFREY",
        "first_name": "WYLEA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "PA020344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1112585",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCE PRACTICE RN",
            "identifier": "AP03533",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Carol Grass-Ferguson, N.P.
• Chantasia D Grasty, MHS
• Alfred Gravel, RHP
• Courtnie Clark Graves, CCP
• Vanessa Wilson Graves, LCSW
• Kamryn Gray
• Kenny Gray Jr.
• Laquisha Gray
• Green Road Medical Transportation LLC
• Donna Green

• All providers in Alexandria, LA
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.