Individual provider Active NPI

Rachel Fontenot Gray, FNP-C

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1992043525
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TAP003015 Issued in LA
Practice address
2013 Central Rd Ste B
Baton Rouge, LA 70807-3944
Phone
(225) 774-1120
NPI assigned
Jan 16, 2013
Last updated
May 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TAP003015 LA Primary

Addresses

Primary practice location

2013 Central Rd Ste B
Baton Rouge, LA 70807-3944

Mailing address

40440 Emmy Ave
Prairieville, LA 70769-5901
Phone (225) 405-5589

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130325000118 LA Practitioner - Nurse Practitioner 7911142864 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renal Associates of Baton Rouge, LLCGroup PAC ID 2567354046, 25 clinicians
Baton Rouge Primary Care Collaborative IncGroup PAC ID 6305819541, shared by 2 NPIs, 4 clinicians

Practice addresses (Care Compare)

5131 Odonovan Dr
FL 1
Baton Rouge, LA 70808-4791
Phone (225) 767-4893

7050 Plank Rd
Baton Rouge, LA 70811-6043
Phone (225) 774-1120

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TAP003015LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A2Z Medical Transportation CurrentSince Jun 22, 2021 Accepting new patients
Baton Rouge Primary Care Collaborative, Inc. CurrentSince Mar 1, 2013 Accepting new patients
Renal Associates of Baton Rouge, LLC CurrentSince Jun 28, 2014 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Nov 1, 2023 Accepting new patients
Baton Rouge Primary Care Collaborative, Inc. Current Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients
Nephrology Management LLC PastSince Jan 10, 2021 Accepting new patients

Locations

2013 Central Rd
Ste B
Baton Rouge, LA 70807
Phone (225) 774-1120

5131 Odonovan Dr
Fl 1
Baton Rouge, LA 70808
Phone (225) 767-4893

5131 Odonovan Dr
Fl First
Baton Rouge, LA 70808
Phone (225) 767-4893

5131 Odonovan Dr
Ste 100
Baton Rouge, LA 70808
Phone (225) 767-4893

7050 Plank Rd
Baton Rouge, LA 70811
Phone (225) 774-1120

2647 S Saint Elizabeth Blvd
Ste 311
Gonzales, LA 70737
Phone (225) 743-2833

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416

5000 Odonavan Blvd
Ste 412
Walker, LA 70785
Phone (225) 767-7200

1215 Independence Blvd
Ste 9A
Zachary, LA 70791

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: rachel.gray@brprimarycare.directbygreenway.com
  • Direct secure messaging: rgray14236@direct.acumenmd.com
  • Direct secure messaging: rgray2020227@direct.ochsner.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1992043525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40440 EMMY AVE",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707695901",
            "telephone_number": "225-405-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 CENTRAL RD STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708073944",
            "telephone_number": "225-774-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "RACHEL",
        "middle_name": "FONTENOT",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-16",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "TAP003015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.