Active NPI
Heather D Gray, RN
- Registered Nurse
- Port Angeles, WA
National Provider Identifier
1972106060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 60157857
- Practice address
- 325 E 6TH St
Port Angeles, WA 98362-6203 - Phone
- (360) 461-4617
- NPI assigned
- Nov 19, 2020
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 60157857 | WA | |
| Registered Nurse | 163W00000X | 60157857 | WA | Primary |
Addresses
Primary practice location
325 E 6TH St
Port Angeles, WA 98362-6203
Mailing address
325 E 6TH St
Port Angeles, WA 98362-6203
Phone (360) 461-4617
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60157857 | Other | WA | RN |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60157857 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1972106060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 E 6TH ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983626203",
"telephone_number": "360-461-4617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 E 6TH ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983626203",
"telephone_number": "360-461-4617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "HEATHER",
"middle_name": "D",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-19",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "WA",
"license": "60157857",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "60157857",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "60157857",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.