Individual provider Active NPI

Danalee J Gray, HIS

  • Hearing Instrument Specialist
  • Manitowoc, WI
National Provider Identifier
1679061790
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
1549-60 Issued in WI
Practice address
1000 Maritime Dr
Manitowoc, WI 54220-2922
Phone
(715) 470-7275
NPI assigned
Apr 24, 2018
Last updated
Feb 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 1549-60 WI Primary

Addresses

Primary practice location

1000 Maritime Dr
Manitowoc, WI 54220-2922

Mailing address

909 Augusta Ave
Wausau, WI 54403-3338
Phone (715) 470-7275

Other practice location 1

3416 Mill Rd
Sheboygan, WI 53083-2058
Phone (715) 470-7275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1549-60WIMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1679061790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 AUGUSTA AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544033338",
            "telephone_number": "715-470-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MARITIME DR",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202922",
            "telephone_number": "715-470-7275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3416 Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Sheboygan",
            "state": "WI",
            "postal_code": "530832058",
            "country_code": "US",
            "telephone_number": "715-470-7275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "DANALEE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WI",
            "license": "1549-60",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manitowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.