Individual provider Active NPI

Lori Gray, APRN

  • Family Nurse Practitioner
  • London, KY
National Provider Identifier
1477068856
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011659 Issued in KY
Practice address
94 Dogpatch Trading Ctr Ste 2
London, KY 40741-8292
Phone
(606) 877-1352
NPI assigned
Dec 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3011659 KY Primary

Addresses

Primary practice location

94 Dogpatch Trading Ctr Ste 2
London, KY 40741-8292

Mailing address

2792 E Highway 30
East Bernstadt, KY 40729-6227
Phone (606) 231-6936

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171227001400 KY Practitioner - Nurse Practitioner 5092073833 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3011659KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Jan 8, 2018 Accepting new patients
Emmanuel Yumang, MD, PLLC Family Past Accepting new patients

Locations

3101 Richmond Rd
Lexington, KY 40509
Phone (859) 268-9866

4101 Tates Creek Centre Dr
Lexington, KY 40517
Phone (859) 272-2575

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHCBDD/Endpoint/CHCBDD

Organizations & group practices 2

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": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1477068856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2792 E HIGHWAY 30",
            "city": "EAST BERNSTADT",
            "state": "KY",
            "postal_code": "407296227",
            "telephone_number": "606-231-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 DOGPATCH TRADING CTR STE 2",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407418292",
            "telephone_number": "606-877-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "LORI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-07",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.