Active NPI
Cynthia M Gray, FNP
- Family Nurse Practitioner
- Winnsboro, LA
National Provider Identifier
1477519049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN080884
- Practice address
- 3326 Front St
Suite B
Winnsboro, LA 71295-6487 - Phone
- (318) 435-7333
- Fax
- (318) 435-9061
- NPI assigned
- Apr 24, 2006
- 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 | RN080884 | LA | Primary |
Addresses
Primary practice location
3326 Front St
Suite B
Winnsboro, LA 71295-6487
Mailing address
3326 Front St
Suite B
Winnsboro, LA 71295-6487
Phone (318) 435-7333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1378127 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN080884 | LA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251244800000",
"number": "1477519049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3326 FRONT ST",
"address_2": "SUITE B",
"city": "WINNSBORO",
"state": "LA",
"postal_code": "712956487",
"telephone_number": "318-435-7333",
"fax_number": "318-435-9061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3326 FRONT ST",
"address_2": "SUITE B",
"city": "WINNSBORO",
"state": "LA",
"postal_code": "712956487",
"telephone_number": "318-435-7333",
"fax_number": "318-435-9061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "CYNTHIA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-24",
"last_updated": "2009-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "RN080884",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1378127",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winnsboro, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.