Susan Jane Gray, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

SP003149C Issued in PA

Practice address

915 Fern Hill Rd
Building a Suite 3
West Chester, PA 19380-4269

Phone

(610) 738-2474

NPI assigned

Jan 21, 2009

Last updated

Jan 21, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1053558577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 THREE FOX LN",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193802015",
            "telephone_number": "610-431-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 FERN HILL RD",
            "address_2": "BUILDING A SUITE 3",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804269",
            "telephone_number": "610-738-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SUSAN",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP003149C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurene Ann Grabill, D.M.D
• Bonnie Mauger Graff, PHD CRNP
• Grane Supply, Inc. (GraneRx)
• Carla Graves, RDN
• Suzanne B. Graves, MA, MT-BC
• Deanna Grayson, LSW
• Nina C. Grecco, LCSW
• Jessica Lynn Green, R.N.; B.S.N.
• Lisa Green
• Sara Ruth Green, PHD, MSW

• Adult Health Nurse Practitioner in West Chester, PA
• Providers in West Chester, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.