Individual provider Active NPI

Richi Michele Gray, NP

  • Nurse Practitioner
  • Corbin, KY
National Provider Identifier
1073214540
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3018730 Issued in KY
Practice address
140 Bryan Blvd
Corbin, KY 40701-2775
Phone
(606) 523-2005
NPI assigned
Mar 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3018730 KY Primary

Addresses

Primary practice location

140 Bryan Blvd
Corbin, KY 40701-2775

Mailing address

8786 Ky 459
Barbourville, KY 40906-7236
Phone (606) 243-5108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230922003148 KY Practitioner - Nurse Practitioner 0941654057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

315 Hospital Dr
Suite 2
Barbourville, KY 40906-7917
Phone (606) 546-4060

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barbourville Family Health Center Family Medicine CurrentSince Jul 17, 2025 Accepting new patients
Barbourville Family Health Center Family Medicine Current Accepting new patients
Barbourville Family Health Center Family Medicine Past Accepting new patients

Locations

215 N Allison Ave
Barbourville, KY 40906
Phone (606) 546-4166

315 Hospital Dr
Ste 2
Barbourville, KY 40906
Phone (606) 546-4060

140 Bryan Blvd
Corbin, KY 40701
Phone (606) 523-2005

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1073214540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8786 KY 459",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067236",
            "telephone_number": "606-243-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BRYAN BLVD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012775",
            "telephone_number": "606-523-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "RICHI",
        "middle_name": "MICHELE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3018730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.