Alexis Gray, MCM, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1983 Issued in MN

Practice address

11500 Highway 7 Ste 204
Minnetonka, MN 55305-5107

Phone

(612) 389-1513

NPI assigned

Mar 17, 2023

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

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": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1043912868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 AQUILA AVE S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554262902",
            "telephone_number": "612-747-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 HIGHWAY 7 STE 204",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055107",
            "telephone_number": "612-389-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ALEXIS",
        "credential": "MCM, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand St Paul CVS LLC
• Mia Geraldine Granger
• Amaya Grant
• Jessica Rae Graves, MS, CCC-SLP
• Andrea Margaret Gravley, CPNP
• Megan Marie Gray, PT, DPT
• Sonja M Green, MD
• Catherine Greene, LMFT
• Natalie Greening
• Joel Seth Greenwald, MD

• Acupuncturist in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.