Joshua Gray

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

3008815 Issued in KY

Practice address

7600 Mango Dr
Louisville, KY 40258-2347

Phone

(502) 649-7132

NPI assigned

Sep 24, 2014

Last updated

Oct 20, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. Nair Internal Medicine, PLLCGroup PAC ID 7517955081, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Dr. Nair Internal Medicine, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Louisville, KY
  • NPI 1063554608
  Medicare reassignment Care Compare group NPD
• On the Mend PLLC

  • Nurse Practitioner
  • Richmond, KY
  • NPI 1548186034
  Authorized official Same address or phone
• Regenra Health

  • Adult Health Nurse Practitioner
  • Louisville, KY
  • NPI 1891619094
  Authorized official Same address or phone
• Pearl Medical Practice PLLC

  • Primary Care Clinic/Center
  • Louisville, KY
  • NPI 1669841631
  NPD (past)

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1659773463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 MANGO DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402582347",
            "telephone_number": "502-649-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 MANGO DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402582347",
            "telephone_number": "502-649-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-24",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3008815",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "KY",
            "license": "1116169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis S Gray, M.D.
• Jacqueline Gray, MT-BC
• Jacqueline Gray, MSN, APRN, NP-C
• James Coulson Gray IV
• Jeannette Gray, OTR/L
• Kimberly Diane Gray, LCSW
• Krislin Diann Lashea Gray, LCSW
• Krissa Brooke Gray, APRN
• Laman A. Gray Jr., M.D.
• Latawnya R Gray

• Adult Health Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Adult Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.
• 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.

Verify at the official NPI Registry.