Sasha Gray, MSN, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0024178835 Issued in VA

Practice address

20 Doc Stone Rd
Stafford, VA 22556-4515

Phone

(540) 602-7766

NPI assigned

Apr 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sasha Gray Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

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.

• Pediatrics, Inc

  • Pediatric Nurse Practitioner
  • Glen Allen, VA
  • NPI 1629329610

  Single Specialty

  NPD (past)
• Pediatrics, Inc.

  • Pediatrics Physician
  • Glen Allen, VA
  • NPI 1255358065

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1235768151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9624 SANDY POINTE CIR APT 203",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087780",
            "telephone_number": "631-252-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 DOC STONE RD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225564515",
            "telephone_number": "540-602-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SASHA",
        "credential": "MSN, CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024178835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SASHA",
            "last_name": "GRAY",
            "credential": "MSN, CPNP-PC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gracious Care Agency
• Pamela Grady, OT
• Matthew Stephen Graessle, DPT
• Jessica Granados
• Lisa Marie Grant-McDonald, DPM
• Emmanuel James-Maurice Green
• Tiffany Noel Green, MA, LPC, NCC
• Darniesha Greene, NP-C
• Paris Griggs
• Zakoria Griggs

• Pediatric Nurse Practitioner in Stafford, VA
• Providers in Stafford, VA by specialty
• Pediatric Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.