Alexis Gray, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3320 Issued in LA

Practice address

1503 Elizabeth Ave
Ruston, LA 71270-4102

Phone

(903) 824-4690

NPI assigned

Apr 26, 2023

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)

Enrolled

Practice roles

Locations

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.

• Hill Medical Services, LLC

  • Family Nurse Practitioner
  • Ruston, LA
  • NPI 1407100183
  NPD

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1124716352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 ELIZABETH AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712704102",
            "telephone_number": "903-824-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 ELIZABETH AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712704102",
            "telephone_number": "903-824-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ALEXIS",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "3320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bionca Gould
• Jamekia Graham
• Mary Hollis Graham, M.S., CCC-SLP
• Jason Charles Granger, P. T.
• Megan Grant
• Latrice Gray
• Rel Larkin Gray, MD
• Green Clinic LLC
• Green Clinic LLC
• Green Clinic LLC

• All providers in Ruston, LA
• Registered Dietitian in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.