Active NPI
Lydia Nicole Gray
- Social Worker
- Huntington, WV
National Provider Identifier
1164056297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- BP00945555
- Practice address
- 5187 Route 60 East
Suite 11
Huntington, WV 25705 - Phone
- (304) 302-0526
- Fax
- (304) 302-0527
- NPI assigned
- Feb 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | BP00945555 | WV | Primary |
Addresses
Primary practice location
5187 Route 60 East
Suite 11
Huntington, WV 25705
Mailing address
5187 Route 60 East
Suite 11
Huntington, WV 25705
Phone (304) 302-0526
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP00945555 | WV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1164056297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5187 ROUTE 60 EAST",
"address_2": "SUITE 11",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "25705",
"telephone_number": "304-302-0526",
"fax_number": "304-302-0527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5187 ROUTE 60 EAST",
"address_2": "SUITE 11",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "25705",
"telephone_number": "304-302-0526",
"fax_number": "304-302-0527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "LYDIA",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-27",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "BP00945555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.