Individual provider Active NPI

Deborah T. Gray, APRN

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1710287511
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN053134-AP02492 Issued in LA
Practice address
4101 S Carrollton Ave
New Orleans, LA 70119-6817
Phone
(504) 446-1390
Fax
(877) 473-0040
NPI assigned
Oct 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN053134-AP02492 LA Primary

Addresses

Primary practice location

4101 S Carrollton Ave
New Orleans, LA 70119-6817

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (504) 446-1390

Other practice location 1

7725 Edward St
MinuteClinic 820 W.Esplanade Ave. Kenner La 70065
New Orleans, LA 70126-1925
Phone (504) 246-7107

Other identifiers 2

IdentifierTypeStateIssuer
2009012139OtherLAAMERICAN NURSES CREDENTIALING CENTER
2132237MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20110315000551 LA Practitioner - Nurse Practitioner 4880876614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Louisiana State University School of Medicine in New Orleans, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4101 S Carrollton Ave
New Orleans, LA 70119-6817
Phone (504) 446-1390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN053134-AP02492LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (la) PC CurrentSince Apr 14, 2025 Accepting new patients
Centerwell Senior Primary Care (la) PC CurrentSince Apr 14, 2025 Accepting new patients
Centerwell Senior Primary Care (la) PC Current Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

2900 E Texas St
Ste 100
Bossier City, LA 71111
Phone (318) 606-6737

4101 S Carrollton Ave
New Orleans, LA 70119
Phone (504) 446-1390

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1710287511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "504-446-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 S CARROLLTON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196817",
            "telephone_number": "504-446-1390",
            "fax_number": "877-473-0040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7725 Edward St",
            "address_2": "MinuteClinic 820 W.Esplanade Ave. Kenner La 70065",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701261925",
            "country_code": "US",
            "telephone_number": "504-246-7107",
            "fax_number": "504-246-7107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "DEBORAH",
        "middle_name": "T.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN053134-AP02492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN NURSES CREDENTIALING CENTER",
            "identifier": "2009012139",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2132237",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.