Individual provider Active NPI

Whitney Michelle Grayson

  • Surgical Assistant
  • Louisville, KY
National Provider Identifier
1730727371
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
15-230 Issued in IN
Practice address
10210 Davinhurst CT
Louisville, KY 40241-1188
Phone
(502) 767-7378
Fax
(502) 470-3566
NPI assigned
Dec 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Surgical Assistant 246ZC0007X 15-230 IN Primary

Addresses

Primary practice location

10210 Davinhurst CT
Louisville, KY 40241-1188

Mailing address

210 S Parkside Dr
Bardstown, KY 40004-9448
Phone (502) 507-5439

Other practice location 1

2125 State St Ste 6
New Albany, IN 47150-4972
Phone (812) 949-5790

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251104002542 KY Practitioner - Nurse Practitioner 9234629767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Louisville School of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

101 Hospital Blvd
Jeffersonville, IN 47130-3769

210 S Parkside Dr
Bardstown, KY 40004-9448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15-230INMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Urology, PSC CurrentSince Oct 21, 2025 Accepting new patients
Vabview LLC PastSince Dec 15, 2019 Accepting new patients

Locations

3431 Solutions Ctr
Chicago, IL 60677

300 High Point Ct
Mt Washington, KY 40047
Phone (502) 447-4595

Organizations & group practices 2

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": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1730727371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S PARKSIDE DR",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400049448",
            "telephone_number": "502-507-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 DAVINHURST CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411188",
            "telephone_number": "502-767-7378",
            "fax_number": "502-470-3566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2125 State St Ste 6",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471504972",
            "country_code": "US",
            "telephone_number": "812-949-5790",
            "fax_number": "812-949-5931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAYSON",
        "first_name": "WHITNEY",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-13",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "IN",
            "license": "15-230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.