Active NPI
Thelma Jean Gray, APRN
- Family Nurse Practitioner
- Barbourville, KY
National Provider Identifier
1548755499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3012785
- Practice address
- 185 Treuhaft Blvd Ste 4
Barbourville, KY 40906-4090 - Phone
- (606) 545-6766
- NPI assigned
- Jun 23, 2018
- 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 | 3012785 | KY | Primary |
Addresses
Primary practice location
185 Treuhaft Blvd Ste 4
Barbourville, KY 40906-4090
Mailing address
185 Treuhaft Blvd
Suite 4
Barbourville, KY 40906-6780
Phone (160) 654-5676
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200402003357 | KY | Practitioner - Nurse Practitioner | 4587093117 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
185 Treuhaft Blvd
Apt 4
Barbourville, KY 40906-8300
Phone (606) 545-6766
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current | Accepting new patients | |
| Harbor of Hope Medical and Behavioral Health Care, LLC | Family | Current | Accepting new patients |
| Harbor of Hope Medical and Behavioral Health Care, LLC | Past | Accepting new patients | |
| Harbor of Hope Medical and Behavioral Health Care, LLC | Family | Past | Accepting new patients |
Locations
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 4
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.
-
- Family Nurse Practitioner
- Barbourville, KY
- NPI 1235774522
Family, KY
-
- Professional Counselor
- Barbourville, KY
- NPI 1134738412
-
- Psychiatry Physician
- Barbourville, KY
- NPI 1639875693
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1548755499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 TREUHAFT BLVD",
"address_2": "SUITE 4",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409066780",
"telephone_number": "160-654-5676",
"fax_number": "606-545-0366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 TREUHAFT BLVD STE 4",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409064090",
"telephone_number": "606-545-6766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "THELMA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-23",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3012785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barbourville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.