Kimberly Ann Gray, ARNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP2809922 Issued in FL

Practice address

2412 W Plaza Dr
Tallahassee, FL 32308-5325

Phone

(850) 877-8171

NPI assigned

Feb 28, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Southeast Asthma and Allergy Center PC

  • Allergy Physician
  • Tallahassee, FL
  • NPI 1295012631
  NPD (past)

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1780186213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 W PLAZA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085325",
            "telephone_number": "850-877-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 W PLAZA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085325",
            "telephone_number": "850-877-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2809922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Joseph Gratt, R PH
• Michael Stefan Gravenstein, MD
• Deanna Graves
• Glenn August Graves, L.C.S.W.
• Leigh R Graves
• Marci Jennifer Gray, P.T.
• Pearl T Gray
• Richard W. Gray, P.T.
• Shayla Lillian-Smith Gray, M.D.
• Lori Savage Grayson, MMSC, CCC-SLP

• Family Nurse Practitioner in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.