Audrey Michelle Gregory

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000057514

Practice address

2780 Elite LN Apt 201
West Lafayette, IN 47906-5391

Phone

(219) 629-9002

NPI assigned

Jan 29, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1164284857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 ELITE LN APT 201",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479065391",
            "telephone_number": "219-629-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 ELITE LN APT 201",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479065391",
            "telephone_number": "219-629-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "AUDREY",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": "IN",
            "license": "40313283",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": "2000057514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oneta Gray
• Stephanie Gray, BS, FST, HAB, CSAYP
• Greater Lafayette Health Services
• Gabriele Jynell Green
• Charna Tamar Greenwell, M.S. CCC-SLP
• Karlee Jean Greives
• Kyra Grider
• Olivia Grace Grinnell
• Anne Marie Gritt, M.S., CCC-SLP
• Mincy A Grove, FNP-C

• Athletic Trainer in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.