Annette Annmarie Gray

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

6906766 Issued in FL

Practice address

3624 Ave de Gien
Delray Beach, FL 33445

Phone

(561) 894-4511

Fax

(561) 894-4501

NPI assigned

Dec 21, 2016

Last updated

Dec 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1255876637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 AVE DE GIEN",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33445",
            "telephone_number": "561-894-4511",
            "fax_number": "561-894-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 AVE DE GIEN",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33445",
            "telephone_number": "561-894-4511",
            "fax_number": "561-894-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ANNETTE",
        "middle_name": "ANNMARIE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "6906766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT FAMILY CARE HOME",
            "identifier": "6906766",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keneithia S Grant, OTR/L
• Grass Roots Recovery
• Michael Benjamin Grasso, D.C
• Philip E Grattan Jr., PT
• Carmen Graves, LMT
• Greater Florida Anesthesiologists, LLC
• Brandon Green
• Holly M Green, LAC, LMT
• Karyn Ann Green, LMHC
• Lewis Edward Green, MD

• Case Manager/Care Coordinator in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.