Individual provider Active NPI

Meagan Elizabeth Gray, FNP-C

  • Family Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1730634510
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024189156 Issued in VA
Practice address
11760 Rock Landing Dr
Newport News, VA 23606-4204
Phone
(757) 668-6300
Fax
(757) 668-6310
NPI assigned
Aug 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X NUR-APRN-LIC-104461 MT
Family Nurse Practitioner 363LF0000X NUR-APRN-LIC-104461 MT
Family Nurse Practitioner 363LF0000X 0024189156 VA Primary

Addresses

Primary practice location

11760 Rock Landing Dr
Newport News, VA 23606-4204

Mailing address

601 Childrens LN
Norfolk, VA 23507-1971
Phone (757) 668-7000

Other names 1

  • Meagan Elizabeth Gray Kuchel Former name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
104461MTMDFoot & Ankle Surgery Podiatrist
NUR-APRN-LIC-104461MTMDFamily Nurse Practitioner
0024189156VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Medical Group Inc Pediatrics PastSince Mar 3, 2024 Accepting new patients
Childrens Medical Group Inc Pediatrics PastSince Mar 3, 2024 Accepting new patients
Western Montana Clinic Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mgray859677@wm.providencedirect.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1730634510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CHILDRENS LN",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071971",
            "telephone_number": "757-668-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 ROCK LANDING DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064204",
            "telephone_number": "757-668-6300",
            "fax_number": "757-668-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "MEAGAN",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "MT",
            "license": "NUR-APRN-LIC-104461",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-104461",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024189156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEAGAN",
            "last_name": "KUCHEL",
            "middle_name": "ELIZABETH GRAY",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.