Eileen H Gray, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NPP37328 Issued in RI

Practice address

195 Collyer St
Suite 201
Providence, RI 02904-1869

Phone

(401) 276-2002

Fax

(401) 272-9299

NPI assigned

Aug 31, 2006

Last updated

Feb 20, 2009By the provider in NPPES

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University Urological Associates, Inc.

  • Urology Physician
  • Providence, RI
  • NPI 1659463230
  NPD (past)
• University Urological Associates, Inc.

  • Urology Physician
  • East Providence, RI
  • NPI 1720264849
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1518078534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MURPHY DR",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028644120",
            "telephone_number": "401-333-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 COLLYER ST",
            "address_2": "SUITE 201",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041869",
            "telephone_number": "401-276-2002",
            "fax_number": "401-272-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "EILEEN",
        "middle_name": "H",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "NPP37328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9004525",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "31019",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stefan Gravenstein, MD
• Sarah Cecilia Graves
• Theresa A. Graves, MD
• Timothy Graves, RN
• Ashley Gray, M.D.
• Michelle Alexandra Gray, PMHNP
• Molly E Gray, LICSW
• Samuel Walker Gray
• Frank Ron Graziano, LICSW
• Great Commission Associates LLC (Courageous Hearts Counseling Center)

• Nurse Practitioner in Providence, RI
• Providers in Providence, RI by specialty
• Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.

Verify at the official NPI Registry.