Lisa Gray, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

65261 Issued in OK

Practice address

111 W Forrest Ave Ste a
Eufaula, OK 74432-3205

Phone

(918) 689-3333

Fax

(918) 967-4582

NPI assigned

Feb 21, 2019

Last updated

Feb 21, 2019By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: lisa.gray.1@19843.direct.athenahealth.com

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1649737073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 179",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744620179",
            "telephone_number": "918-967-3368",
            "fax_number": "918-967-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W FORREST AVE STE A",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744323205",
            "telephone_number": "918-689-3333",
            "fax_number": "918-967-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "LISA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "65261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GCN Health Care Inc (Secure Home Care)
• Roger Lynn Gibson
• Tonya Kay Gibson, R.PH.
• Hannah Goff, M.S.
• Katrina Jo Goforth, B.S
• Green Country Behavioral Health Services, Inc.
• Green Country Behavioral Health Services, Inc.
• Guardian Health Systems Eufaula
• Guardian Pharmacy of Oklahoma LLC (Boomer Solutions)
• Kathryn Marie Ham

• Family Nurse Practitioner in Eufaula, OK
• Providers in Eufaula, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.