Active NPI
Grace Yu-Haesung Bray, FNP-BC
- Family Nurse Practitioner
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024173485
- Practice address
- 984B Laskin Rd
Virginia Beach, VA 23451-3905 - Phone
- (757) 395-6900
- NPI assigned
- May 5, 2016
- Last updated
- Jun 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024173485 | VA | Primary |
Addresses
Primary practice location
984B Laskin Rd
Virginia Beach, VA 23451-3905
Mailing address
984B Laskin Rd
Virginia Beach, VA 23451-3905
Phone (757) 395-6900
Other practice location 1
9376 Atlee Station Rd
Mechanicsville, VA 23116-2602
Phone (804) 730-0990
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740636042 | Medicaid | VA | |
| 0024173485 | Other | VA | VIRGINIA STATE MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
984 B Laskin Rd
Virginia Beach, VA 23451-3905
Phone (757) 395-6900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024173485 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Clinic of VA LLC | Family | Current | Accepting new patients |
| Sentara Medical Group | Current | Accepting new patients |
Locations
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
7000 Tim Price Way
North Chesterfield, VA 23225
Phone (804) 772-8541
9000 Staples Mill Rd
Richmond, VA 23228
Phone (804) 977-9515
984B Laskin Rd
Virginia Beach, VA 23451
Phone (757) 395-6900
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
- Family Nurse Practitioner
- Henrico, VA
- NPI 1225440076
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sentara Virginia Beach General Hospital
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1629038336
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1528028396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1740636042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "984B LASKIN RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234513905",
"telephone_number": "757-395-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "984B LASKIN RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234513905",
"telephone_number": "757-395-6900"
}
],
"practiceLocations": [
{
"address_1": "9376 Atlee Station Rd",
"address_purpose": "LOCATION",
"city": "Mechanicsville",
"state": "VA",
"postal_code": "231162602",
"country_code": "US",
"telephone_number": "804-730-0990",
"fax_number": "804-730-3375",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRAY",
"first_name": "GRACE",
"middle_name": "YU-HAESUNG",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-05",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024173485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740636042",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA STATE MEDICAL LICENSE",
"identifier": "0024173485",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.