Active NPI
Adria Susanne Gray, BHWC
- Health & Wellness Coach
- Oklahoma City, OK
National Provider Identifier
1932937240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- 7803
- Practice address
- PO Box 60189
Oklahoma City, OK 73146-0189 - Phone
- (918) 636-3474
- NPI assigned
- Jul 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | 7803 | OK | Primary |
| Peer Specialist | 175T00000X |
Addresses
Primary practice location
PO Box 60189
Oklahoma City, OK 73146-0189
Mailing address
PO Box 60189
Oklahoma City, OK 73146-0189
Phone (918) 636-3474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7803 | OK | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1932937240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60189",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731460189",
"telephone_number": "918-636-3474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 60189",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731460189",
"telephone_number": "918-636-3474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "ADRIA",
"middle_name": "SUSANNE",
"credential": "BHWC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-26",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "OK",
"license": "7803",
"primary": true
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.