Mary Amanda Gray

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

885502 Issued in VA

Practice address

5306 Old Virginia Street
Urbanna, VA 23692

Phone

(757) 814-6432

NPI assigned

Sep 10, 2018

Last updated

Sep 10, 2018By 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)

Enrolled

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1114400884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BUCKINGHAM DR",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236924504",
            "telephone_number": "757-814-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5306 OLD VIRGINIA STREET",
            "city": "URBANNA",
            "state": "VA",
            "postal_code": "23692",
            "telephone_number": "757-814-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "MARY",
        "middle_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "885502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Durrette, PH.D., LCP
• Emily S Eanes, L.P.C.
• Rebecca M Edwards, RPH
• Sharon H Estabrook, OTR/L
• Corinne Farmer, QMHP
• Susan G Hallett, LCSW
• Pamela Michelle Hanks
• Elizabeth Martin Harding, CCC-SLP
• Debra Pierce Horsley
• Megan M Hudnall, B.S. E.D. , M.S. E.D

• Registered Dietitian in Urbanna, VA
• Providers in Urbanna, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.