Hollyann Gray

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.125774.MEDS-IV Issued in OH

Practice address

44 E Crescentville Rd
Cincinnati, OH 45246-1302

Phone

(513) 671-7117

Fax

(513) 671-7110

NPI assigned

Dec 8, 2017

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 names 1

• Hollyann Stieg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Premier Care of Ohio LLC

  • Methadone Clinic
  • Cincinnati, OH
  • NPI 1568707420
  NPD (past)
• Premier Care of Ohio, LLC

  • Methadone Clinic
  • Cincinnati, OH
  • NPI 1902518061
  NPD (past)

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1447765763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 ELSINORE PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021459",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E CRESCENTVILLE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452461302",
            "telephone_number": "513-671-7117",
            "fax_number": "513-671-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "HOLLYANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-08",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.125774.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLYANN",
            "last_name": "STIEG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheyenne Gray
• Cynthia D Gray
• David Gray
• Donald Jason Gray, D.C.
• Elana Denean Gray
• James McDonald Gray, MD
• Jamie A Gray
• Jasmine C Gray
• Jeana Rene Gray, STNA
• Jeffery Gray Jr.

• Licensed Practical Nurse in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.