Active NPI
Ann M Gray, NP
- Family Nurse Practitioner
- West Monroe, LA
National Provider Identifier
1922030634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0103783
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1169919 | Medicaid | LA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230925001098 | LA | Order and Referring Only - Nurse Practitioner | 2961452818 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11535 | CT | MD | Clinical Social Worker |
| 3002514 | AL | MD | Family Nurse Practitioner |
| 222292 | AR | MD | Family Nurse Practitioner |
| 271672 | AZ | MD | Family Nurse Practitioner |
| 0103783 | CO | MD | Family Nurse Practitioner |
| 0013397 | DE | MD | Family Nurse Practitioner |
| 11017765 | FL | MD | Family Nurse Practitioner |
| 71893 | ID | MD | Family Nurse Practitioner |
| 89406AP04130 | LA | MD | Family Nurse Practitioner |
| 5023518 | NC | MD | Family Nurse Practitioner |
| 08760123 | NH | MD | Family Nurse Practitioner |
| 30977 | SC | MD | Family Nurse Practitioner |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.