Individual provider Active NPI

Monica Gray, RN, BSN, MED

  • School Registered Nurse
  • Scottsdale, AZ
National Provider Identifier
1154476794
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
163WS0200X Issued in AZ
Practice address
6720 E Continental Dr
Scottsdale, AZ 85257-3226
Phone
(480) 484-5811
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 163WS0200X AZ Primary

Addresses

Primary practice location

6720 E Continental Dr
Scottsdale, AZ 85257-3226

Mailing address

6413 E Vernon Ave
Scottsdale, AZ 85257-1137
Phone (480) 484-5811

Other identifiers 1

IdentifierTypeStateIssuer
626369MedicaidAZ

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
Credentials
Bachelor on Science - Nursing, Master of Education, Registered Nurse

State licenses

LicenseStateTypeSpecialty
163WS0200XAZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Unified School District Past Accepting new patients

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154476794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6413 E VERNON AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852571137",
            "telephone_number": "480-484-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 E CONTINENTAL DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573226",
            "telephone_number": "480-484-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "MONICA",
        "name_prefix": "Ms.",
        "credential": "RN, BSN, MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "163WS0200X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "626369",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.