Active NPI
Rosalie Spreen Gray, CRNA
- Certified Registered Nurse Anesthetist
- Shelbyville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3005392
- Practice address
- 727 Hospital Dr
Shelbyville, KY 40065-1660 - Phone
- (502) 647-4085
- Fax
- (502) 647-4098
- NPI assigned
- Apr 14, 2006
- Last updated
- Jul 12, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | C00606 | AR | |
| Certified Registered Nurse Anesthetist | 367500000X | 3005392 | KY | Primary |
Addresses
Primary practice location
727 Hospital Dr
Shelbyville, KY 40065-1660
Mailing address
100 E Liberty St Ste 800
Louisville, KY 40202-1428
Other practice location 1
1850 Bluegrass Ave
Louisville, KY 40215-1161
Phone (502) 367-3360
Other practice location 2
727 Hospital Dr
Shelbyville, KY 40065
Phone (502) 647-4085
Other practice location 3
4305 New Shepherdsville Rd
Anesthesia Department
Bardstown, KY 40004-9019
Phone (502) 350-5032
Other practice location 4
4305 New Shepherdsville Rd
Anesthesia Department
Bardstown, KY 40004-9019
Phone (502) 350-5032
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50053842 | Other | KY | PASSPORT-SME |
| 7100041770 | Medicaid | KY | |
| P01922699RR | Other | KY | RR MEDICARE |
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)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C00606 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Services LTD | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Bluegrass Anesthesia Services, PSC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Sleepers Anesthesia Services, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Care Enterprises, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Frankfort, KY
- NPI 1548355100
Nurse Anesthetist, Certified Registered
-
dba Eric Shawn Gosser
- Certified Registered Nurse Anesthetist
- Danville, KY
- NPI 1699225631
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Aurora, CO
- NPI 1861450371
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- North Little Rock, AR
- NPI 1184687881
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562889600000",
"number": "1962466144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E LIBERTY ST STE 800",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 HOSPITAL DR",
"city": "SHELBYVILLE",
"state": "KY",
"postal_code": "400651660",
"telephone_number": "502-647-4085",
"fax_number": "502-647-4098"
}
],
"practiceLocations": [
{
"address_1": "1850 Bluegrass Ave",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402151161",
"country_code": "US",
"telephone_number": "502-367-3360",
"fax_number": "502-367-3365",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "727 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Shelbyville",
"state": "KY",
"postal_code": "40065",
"country_code": "US",
"telephone_number": "502-647-4085",
"fax_number": "502-647-4098",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4305 New Shepherdsville Rd",
"address_2": "Anesthesia Department",
"address_purpose": "LOCATION",
"city": "Bardstown",
"state": "KY",
"postal_code": "400049019",
"country_code": "US",
"telephone_number": "502-350-5032",
"fax_number": "502-350-5022",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4305 New Shepherdsville Rd",
"address_2": "Anesthesia Department",
"address_purpose": "LOCATION",
"city": "Bardstown",
"state": "KY",
"postal_code": "400049019",
"country_code": "US",
"telephone_number": "502-350-5032",
"fax_number": "502-350-5022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAY",
"first_name": "ROSALIE",
"middle_name": "SPREEN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2019-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "C00606",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3005392",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT-SME",
"identifier": "50053842",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100041770",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01922699RR",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelbyville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.