Individual provider Active NPI

Ann M Gray, NP

  • Family Nurse Practitioner
  • West Monroe, LA
National Provider Identifier
1922030634
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0103783 Issued in CO
Practice address
6198 Cypress St BLDG 3
West Monroe, LA 71291-9010
Phone
(318) 397-1616
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 222292 AR
Family Nurse Practitioner 363LF0000X 89406AP04130 LA
Family Nurse Practitioner 363LF0000X 0013397 DE
Family Nurse Practitioner 363LF0000X 30977 SC
Family Nurse Practitioner 363LF0000X 271672 AZ
Family Nurse Practitioner 363LF0000X 3002514 AL
Family Nurse Practitioner 363LF0000X 11017765 FL
Family Nurse Practitioner 363LF0000X AP61283347 WA
Family Nurse Practitioner 363LF0000X 1073087 TX
Family Nurse Practitioner 363LF0000X 0103783 CO Primary
Family Nurse Practitioner 363LF0000X 5023518 NC
Family Nurse Practitioner 363LF0000X 71893 ID
Family Nurse Practitioner 363LF0000X 11535 CT
Family Nurse Practitioner 363LF0000X A167537 IA
Family Nurse Practitioner 363LF0000X 08760123 NH

Addresses

Primary practice location

6198 Cypress St BLDG 3
West Monroe, LA 71291-9010

Mailing address

1318 Avant Rd
West Monroe, LA 71291-9730

Other identifiers 1

IdentifierTypeStateIssuer
1169919MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20230925001098 LA Order and Referring Only - Nurse Practitioner 2961452818

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11535CTMDClinical Social Worker
3002514ALMDFamily Nurse Practitioner
222292ARMDFamily Nurse Practitioner
271672AZMDFamily Nurse Practitioner
0103783COMDFamily Nurse Practitioner
0013397DEMDFamily Nurse Practitioner
11017765FLMDFamily Nurse Practitioner
71893IDMDFamily Nurse Practitioner
89406AP04130LAMDFamily Nurse Practitioner
5023518NCMDFamily Nurse Practitioner
08760123NHMDFamily Nurse Practitioner
30977SCMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: agray@landmarkhealth-direct.org

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1922030634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 AVANT RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712919730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6198 CYPRESS ST BLDG 3",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712919010",
            "telephone_number": "318-397-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ANN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "222292",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "89406AP04130",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "0013397",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "30977",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "271672",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3002514",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11017765",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61283347",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1073087",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0103783",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5023518",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "71893",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "11535",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A167537",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "08760123",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1169919",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.