Crystal J Gray, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

32603-031 Issued in WI

Practice address

3427 W Villard Ave
Apt 307
Milwaukee, WI 53209-4700

Phone

(414) 388-5340

NPI assigned

Apr 3, 2014

Last updated

Apr 3, 2014By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1053739276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3427 W VILLARD AVE",
            "address_2": "APT 307",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532094700",
            "telephone_number": "414-388-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3427 W VILLARD AVE",
            "address_2": "APT 307",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532094700",
            "telephone_number": "414-388-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "CRYSTAL",
        "middle_name": "J",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "32603-031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Grawey, DO
• Angelique Gray, LPN
• Bonnie Gray
• Camdin Gray
• Cameal Larese Gray, LPC
• Denice L Gray, RN, BSN
• Empress Andrea Gray
• Jamila K Gray, APNP-BC
• Jasmine C Gray
• Katrina Lashell Gray

• Licensed Practical Nurse in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.