Jasmine C Gray

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

1300 N Vel R Phillips Ave Apt 301
Milwaukee, WI 53212-4008

Phone

(141) 455-1541

Fax

(414) 551-5416

NPI assigned

Jul 27, 2020

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1639788698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N VEL R PHILLIPS AVE APT 301",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532124008",
            "telephone_number": "141-455-1547",
            "fax_number": "414-551-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VEL R PHILLIPS AVE APT 301",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532124008",
            "telephone_number": "141-455-1541",
            "fax_number": "414-551-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JASMINE",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81-4909668",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cameal Larese Gray, LPC
• Crystal J Gray, LPN
• Denice L Gray, RN, BSN
• Empress Andrea Gray
• Jamila K Gray, APNP-BC
• Katrina Lashell Gray
• Kyonna Michelle Gray
• Patricia Louise Gray, 15653-130
• Quatina Gray
• Sarah Marie Gray

• Contractor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Contractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.