Individual provider Active NPI

Jennifer Lyn Grayer, NNP, BC

  • Critical Care Neonatal Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1922372838
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
930225 Issued in NC
Practice address
801 Green Valley Rd
Nicu-2ND Floor
Greensboro, NC 27408-7021
Phone
(336) 832-6865
NPI assigned
Feb 24, 2012
Last updated
Feb 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Neonatal Nurse Practitioner 363LN0005X 930225 NC Primary

Addresses

Primary practice location

801 Green Valley Rd
Nicu-2ND Floor
Greensboro, NC 27408-7021

Mailing address

801 Green Valley Rd
Nicu-2ND Floor
Greensboro, NC 27408-7021
Phone (336) 832-6865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
930225NCMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Oct 17, 2024 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Oct 17, 2024 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients

Locations

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

300 E Wendover Ave
Fl 2
Greensboro, NC 27401
Phone (336) 663-5219

801 Green Valley Rd
Fl 2
Greensboro, NC 27408
Phone (336) 832-6865

930 3rd St
Greensboro, NC 27405
Phone (336) 610-3720

Interoperability endpoints

  • Direct secure messaging: jgrayer11212@direct.conehealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1922372838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 GREEN VALLEY RD",
            "address_2": "NICU-2ND FLOOR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087021",
            "telephone_number": "336-832-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 GREEN VALLEY RD",
            "address_2": "NICU-2ND FLOOR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087021",
            "telephone_number": "336-832-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYER",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "NNP, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "NC",
            "license": "930225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.