MELISSA C GRAY LPN
NPI 1104263524
Licensed Practical Nurse in Brockport, NY

Q: What is Melissa Gray's NPI number?

The NPI number for Melissa Gray is 1104263524. It was assigned to this individual provider in the NPPES registry on May 24, 2013.

Q: What is Melissa Gray's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Gray was last updated on May 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 24, 2013

4839 REDMAN RD, BROCKPORT, NY 14420(585) 330-0843 Get Directions Write a Review

NPPES record last updated: May 24, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Melissa C Gray Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA C GRAY LPN (NPI 1104263524) is an individual licensed practical nurse in Brockport, New York, licensed in New York (300698) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1104263524

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMELISSA C GRAYCredential: LPN

Location Address4839 REDMAN RDBrockport, NY 14420-9612

Mailing Address4839 Redman RdBrockport, NY 14420-9612 · (585) 330-0843

Phone(585) 330-0843

Sole ProprietorNo

Enumeration DateMay 24, 2013

✔ NPI 1104263524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 300698

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

4839 REDMAN RD, Brockport, NY 14420

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Gray's NPI number?

The NPI number for Melissa Gray is 1104263524. It was assigned to this individual provider in the NPPES registry on May 24, 2013.

Where is Melissa Gray located?

Melissa Gray practices at 4839 Redman Rd, Brockport, NY 14420. The listed phone number is (585) 330-0843.

What is Melissa Gray's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Melissa Gray was last updated on May 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.