Active NPI
Adrian Denise Gray, FNP-BC
- Family Nurse Practitioner
- Corbin, KY
National Provider Identifier
1467759936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3006853
- Practice address
- 1019 Cumberland Falls Hwy Ste D141
Corbin, KY 40701-2796 - Phone
- (606) 528-5527
- Fax
- (606) 526-9687
- NPI assigned
- Feb 18, 2011
- Last updated
- Jan 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3006853 | KY | Primary |
Addresses
Primary practice location
1019 Cumberland Falls Hwy Ste D141
Corbin, KY 40701-2796
Mailing address
PO Box 129
Whitley City, KY 42653-0129
Phone (606) 376-2224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100166960 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brock Medical, LLC | Current | Accepting new patients | |
| Fast Pace Kentucky PLLC | Current | Accepting new patients | |
| Home Health of Jefferson Co, LLC | Past | Accepting new patients |
Locations
1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Norton Home Health
- Home Health Agency
- Louisville, KY
- NPI 1871940841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1467759936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 129",
"city": "WHITLEY CITY",
"state": "KY",
"postal_code": "426530129",
"telephone_number": "606-376-2224",
"fax_number": "606-376-2205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1019 CUMBERLAND FALLS HWY STE D141",
"city": "CORBIN",
"state": "KY",
"postal_code": "407012796",
"telephone_number": "606-528-5527",
"fax_number": "606-526-9687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "ADRIAN",
"middle_name": "DENISE",
"name_prefix": "Ms.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-18",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3006853",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100166960",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corbin, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.