Mary Gray, RN

Primary specialty

Continuing Education/Staff Development Registered NurseTaxonomy code 163WC1600X

License

355372 Issued in NY

Practice address

168 Melody LN
Tonawanda, NY 14150-9110

Phone

(716) 837-3889

NPI assigned

Nov 4, 2014

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1467857359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 MELODY LN",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141509110",
            "telephone_number": "716-837-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 MELODY LN",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141509110",
            "telephone_number": "716-837-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "MARY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "NY",
            "license": "355372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goodcare Medical Supplies
• Shannon Gowen
• Mary Graf
• Rebecca Lynn Graham, FNP-BC
• Kimberly Ann Grande, MS
• Samantha Gray
• Green Pastures Still Waters Massage Therapy & Spa
• Roseann Green
• Patrick Greene
• Morgan Gregg

• Continuing Education/Staff Development Registered Nurse in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Continuing Education/Staff Development Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.