Tracy Renee Gray, REGISTERED NURSE

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

124025 Issued in AZ

Practice address

7150 E 24TH St
Yuma, AZ 85365-1179

Phone

(928) 502-6427

NPI assigned

Oct 11, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1548041916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16608 S AVENUE A",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "853507620",
            "telephone_number": "928-581-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 E 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853651179",
            "telephone_number": "928-502-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "TRACY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "124025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitzi S Gragson, NP
• Amanda Graham, PA-C
• Timothy P. Graham, M.D.
• Grand Canyon Medical Clinic PLLC
• Jennifer Andro Gray, N.P.
• Gregory L Peare, M.D., P.C.
• Allison Griffin, LAT, ATC
• Thomas John Grijalva, MSN-FNP
• Vallory Grosch, RBT
• Donna Grove, PT

• All providers in Yuma, AZ
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.