Individual provider Active NPI

Katherine A Gray, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1396197950
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71006339A Issued in IN
Practice address
550 University Blvd
Uh 1501
Indianapolis, IN 46202-5149
Phone
(317) 948-1310
NPI assigned
Jul 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71006339A IN
Family Nurse Practitioner 363LF0000X 28200762A IN
Family Nurse Practitioner 363LF0000X 71006339A IN Primary

Addresses

Primary practice location

550 University Blvd
Uh 1501
Indianapolis, IN 46202-5149

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160817002669 IN Practitioner - Nurse Practitioner 0143515924 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71006339AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Otolaryngology Associates, Inc. CurrentSince Oct 30, 2020 Accepting new patients
University Family Physicians, Inc. CurrentSince Aug 29, 2016 Accepting new patients
Iu Health Medical Group, LLC Nurse Practitioner CurrentSince Oct 1, 2024 Accepting new patients
Indiana University Health Care Associates, Inc Family CurrentSince Feb 1, 2021 Accepting new patients
University Family Physicians, Inc. CurrentSince Aug 29, 2016 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

7631 Solutions Ctr
Chicago, IL 60677

5208 Reliable Pkwy
Chicago, IL 60686

7216 Solutions Ctr
Chicago, IL 60677

1115 Ronald Reagan Pkwy
Ste 254
Avon, IN 46123
Phone (317) 705-2700

11725 Illinois St
Ste 275
Carmel, IN 46032
Phone (317) 688-4864

11700 N Meridian St
Carmel, IN 46032
Phone (317) 688-2000

11725 Illinois St
Carmel, IN 46032
Phone (317) 617-4808

12188A N Meridian St
Ste 375
Carmel, IN 46032

13100 E 136th St
Fishers, IN 46037
Phone (317) 678-2000

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

550 University Blvd
#3005
Indianapolis, IN 46202
Phone (317) 944-2167

550 University Blvd
#1501
Indianapolis, IN 46202
Phone (317) 948-1310

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

575 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 944-3966

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

575 Riley Hospital Dr
Ste 2240
Indianapolis, IN 46202
Phone (317) 944-8620

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

Interoperability endpoints

  • Direct secure messaging: kgray7@direct.iuhealth.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1396197950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 UNIVERSITY BLVD",
            "address_2": "UH 1501",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025149",
            "telephone_number": "317-948-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71006339A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28200762A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006339A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.