Individual provider Active NPI

Christine A Gray, APRN, MSN, FNP-C

  • Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1144803958
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP1045312 Issued in TX
Practice address
4500 Mercantile Plaza Dr Ste 300
Fort Worth, TX 76137-4206
Phone
(866) 949-0108
NPI assigned
Apr 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F04210359 TX
Nurse Practitioner 363L00000X AP1045312 TX Primary

Addresses

Primary practice location

4500 Mercantile Plaza Dr Ste 300
Fort Worth, TX 76137-4206

Mailing address

4500 Mercantile Plaza Dr Ste 300
Fort Worth, TX 76137-4206
Phone (866) 949-0108

Other practice location 1

399 Reid Rd
Junction, TX 76849-3049
Phone (210) 307-7084

Other names 1

  • Ms. Christy Gray Udall Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210819000268 TX Practitioner - Nurse Practitioner 2365847019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Progressive Health of America, PLLCGroup PAC ID 5698072320, 72 clinicians

Practice addresses (Care Compare)

16620 San Pedro Ave
Suite 300
San Antonio, TX 78232-2679
Phone (210) 871-4701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP1045312TXMDNurse Practitioner
F04210359TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Progressive Health of America, PLLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

16620 San Pedro Ave
Ste 300
San Antonio, TX 78232
Phone (210) 614-1231

Interoperability endpoints

  • Direct secure messaging: ms_cgray85@landmarkhealth-direct.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1144803958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 MERCANTILE PLAZA DR STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374206",
            "telephone_number": "866-949-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MERCANTILE PLAZA DR STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374206",
            "telephone_number": "866-949-0108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "399 Reid Rd",
            "address_purpose": "LOCATION",
            "city": "Junction",
            "state": "TX",
            "postal_code": "768493049",
            "country_code": "US",
            "telephone_number": "210-307-7084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "APRN, MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "F04210359",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP1045312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "UDALL",
            "middle_name": "GRAY",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.