Individual provider Active NPI

Nakeya Gray-Harris, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Vineland, NJ
National Provider Identifier
1861273732
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14990700 Issued in NJ
Practice address
460 Kristian Dr
Vineland, NJ 08360-7155
Phone
(856) 405-6580
NPI assigned
Oct 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ14990700 NJ Primary

Addresses

Primary practice location

460 Kristian Dr
Vineland, NJ 08360-7155

Mailing address

460 Kristian Dr
Vineland, NJ 08360-7155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20241217000064 NJ Practitioner - Nurse Practitioner 5294262184 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Hospice at Lsmnj, Inc.Group PAC ID 1759642234, 5 clinicians

Practice addresses (Care Compare)

6712 Washington Ave
Suite 302
Egg Harbor Township, NJ 08234-1999
Phone (609) 380-4302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ14990700NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice at Lsmnj, Inc. CurrentSince Jun 5, 2025 Accepting new patients
Great Health Medical New Jersey PC CurrentSince Oct 10, 2024 Accepting new patients
Pulse Vascular, LLC CurrentSince Jul 14, 2025 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

3 Manhattan Dr
Burlington, NJ 08016
Phone (609) 386-7171

6712 Washington Ave
Ste 302
Egg Harbor Township, NJ 08234
Phone (609) 380-4302

101 Chase Ave
Ste 105
Lakewood, NJ 08701
Phone (212) 201-1252

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

994 W Sherman Ave
Bldg 2
Vineland, NJ 08360
Phone (631) 534-7246

407 Willoughby Ave
Brooklyn, NY 11205
Phone (212) 201-1252

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1861273732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 KRISTIAN DR",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 KRISTIAN DR",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607155",
            "telephone_number": "856-405-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY-HARRIS",
        "first_name": "NAKEYA",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14990700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.