Kristen Gray

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703087979 Issued in MI

Practice address

3097 Prairie St SW
Grandville, MI 49418-2000

Phone

(616) 531-9973

NPI assigned

Feb 11, 2020

Sex

Female

Sole proprietor

Yes

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.

• Treece Home Care Inc

  • Home Health Agency
  • Grandville, MI
  • NPI 1649257734
  NPD (past)

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1891327433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5963 SIMON CT SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "494189795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3097 PRAIRIE ST SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182000",
            "telephone_number": "616-531-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "KRISTEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703087979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grandville Foot and Ankle, P.C.
• Grandville Pediatric Dentristry
• Grandville Pediatrics, P.C.
• Emily Ann Grantham, DNP
• Bryan David Gray, LPTA
• Great Lakes Wellness Counseling LLC
• Greater Presence Counseling PLLC
• Katlyn Rose Griessel, RBT
• Makenzie Griffin, CTRS
• Courtney Griffis

• Licensed Practical Nurse in Grandville, MI
• Providers in Grandville, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.