Active NPI
Janet Gray, APRN
- Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1780029405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN001526
- Practice address
- 3041 E Flamingo Rd
Suite a
Las Vegas, NV 89121-7446 - Phone
- (702) 436-0835
- NPI assigned
- May 8, 2013
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN001526 | NV | Primary |
Addresses
Primary practice location
3041 E Flamingo Rd
Suite a
Las Vegas, NV 89121-7446
Mailing address
3041 E Flamingo Rd
Suite a
Las Vegas, NV 89121-7446
Phone (702) 436-0835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780029405 | Medicaid | NV |
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
| License | State | Type | Specialty |
|---|---|---|---|
| APN001526 | NV | MD | Nurse Practitioner |
| APRN-CNP | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linda L. Johnson MD, LTD | Past | Accepting new patients | |
| Southern Hills Medical Center, LLC | Past | Accepting new patients |
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.
-
- Adult Medicine Physician
- Henderson, NV
- NPI 1376838110
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1457306359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415750400000",
"number": "1780029405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3041 E FLAMINGO RD",
"address_2": "SUITE A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891217446",
"telephone_number": "702-436-0835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3041 E FLAMINGO RD",
"address_2": "SUITE A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891217446",
"telephone_number": "702-436-0835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "JANET",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-08",
"last_updated": "2014-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "APN001526",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780029405",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.