RONDA ANNE GRAY ARNP NPI 1285825893

NPI Information

NPI: 1285825893
Provider Name: RONDA ANNE GRAY, ARNP
Classification: Clinical Nurse Specialist - 364SP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

PECOS Registration: Yes

Address:
601 W MAPLE AVE
SUITE 403
SPRINGDALE, AR
ZIP 72764
Phone: (479) 750-2742
Get Directions

Ronda Anne Gray, ARNP is a psychiatric/mental health and adult clinical nurse specialist in Springdale, AR. Ronda Anne Gray, ARNP NPI is 1285825893. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

601 W MAPLE AVE
SUITE 403
SPRINGDALE, AR
ZIP 72764-335
Phone: (479) 750-2742
Fax: (479) 750-2781

The NPI 1285825893 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/8/2007 and was last updated on 9/27/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364S00000X	Clinical Nurse Specialist		126049	MISSOURI	No
2	364SP0807X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Adolescent	S02253	ARKANSAS	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	53-74557-012	KANSAS	No
4	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	S02253	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4A107	MEDICARE PIN	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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