Bobette Ruth Gray, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

ACU-122 Issued in ID

Practice address

1036 E. Yaquina Bay Drive
Nampa, ID 83686

Phone

(208) 989-7008

Fax

(208) 376-4778

NPI assigned

Jun 19, 2007

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

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1255536272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 E. YAQUINA BAY DR.",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "83686",
            "telephone_number": "208-989-7008",
            "fax_number": "208-376-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 E. YAQUINA BAY DRIVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "83686",
            "telephone_number": "208-989-7008",
            "fax_number": "208-376-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "BOBETTE",
        "middle_name": "RUTH",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ID",
            "license": "ACU-122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer A Graham, PHARM. D.
• Patrick Joseph Gramata, PHARM.D.
• Mark A Granrud, PA-C
• Denise Ann Graveline, RPH
• Jennifer M Graves, LMSW
• Carajean Gray, LCSW
• Megan Dorothy Gray
• Mindy S Gray
• Trever Gray, D.D.S.
• Nikolaus Aidan Grecian

• Acupuncturist in Nampa, ID
• Providers in Nampa, ID by specialty
• Acupuncturist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.