Individual provider Active NPI

Pamela Elaine Gray, STNA

  • Nurse's Aide
  • Columbus, OH
National Provider Identifier
1073039004
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Practice address
821 Berkeley Rd
Columbus, OH 43205-2902
Phone
(614) 360-4789
NPI assigned
Aug 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X Primary

Addresses

Primary practice location

821 Berkeley Rd
Columbus, OH 43205-2902

Mailing address

821 Berkeley Rd
Columbus, OH 43205-2902
Phone (614) 360-4789

Other practice location 1

821 Berkeley Rd
Columbus, OH 43205-4320
Phone (614) 360-4789

Other names 1

  • Ms. Pamela Elaine Gray Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1073039004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 BERKELEY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052902",
            "telephone_number": "614-360-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 BERKELEY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052902",
            "telephone_number": "614-360-4789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "821 Berkeley Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432054320",
            "country_code": "US",
            "telephone_number": "614-360-4789",
            "fax_number": "614-360-4789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "PAMELA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "STNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "GRAY",
            "middle_name": "ELAINE",
            "prefix": "MS.",
            "credential": "STNA. , MA.,HHA.,PCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.