Natasha B Gray, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.014082 Issued in IL

Practice address

1200 N Larrabee St
Minuteclinic
Chicago, IL 60610-1746

Phone

(708) 717-0043

NPI assigned

Jun 18, 2016

Last updated

Jun 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gray Healthcare Consulting PLLC

  • Family Nurse Practitioner
  • Riverside, IL
  • NPI 1952929119
  Medicare reassignment NPD Authorized official
• CMC Healthcare LLC

  • Nurse Practitioner
  • Evanston, IL
  • NPI 1295432334
  Medicare reassignment NPD
• Rajiv Kandala M D S C

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1114094281
  Medicare reassignment NPD
• Southside Primary Care Group SC

  dba Metro Medical Associates

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1417403072
  Medicare reassignment NPD
• Paragon Clinical Midwest, LLC

  • Nurse Practitioner
  • Merrillville, IN
  • NPI 1619335700
  NPD (past)

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

{
    "created_epoch": "1466208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466208000000",
    "number": "1649620865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 N 75TH AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607072603",
            "telephone_number": "708-717-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N LARRABEE ST",
            "address_2": "MINUTECLINIC",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101746",
            "telephone_number": "708-717-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "NATASHA",
        "middle_name": "B",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-18",
        "last_updated": "2016-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.014082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence A Gray, MD
• Lisa Gray
• Melanie Gray, ND
• Melissa Gray, APN
• Morgan Gray, LCSW
• Shanya Gray, LCPC
• Sterling Drakeford Gray, DDS
• Tedra Duana Gray, N.P.
• Yev Gray, D.P.M.
• Jessica M Grayer-Brumfield, LCSW

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.