Stacy Gray, RN
Stacy Gray is a Psychiatric/Mental Health Registered Nurse provider (Registered Nurse) practicing in Pine Bluff, AR, registered in the NPPES registry with NPI 1114304862 since 2015. The credential RN stands for Registered Nurse.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114304862 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Stacy Gray |
| Credential | RN |
| Sex | Female |
| Practice address | 620 S LAUREL ST, Pine Bluff, AR, 71601 |
| Phone | 8705344900 |
| Fax | 8705344906 |
| Enumeration date | 2015-05-01 |
| Last updated in NPPES | 2015-05-01 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | Primary | R093057 | AR |
RN — Registered Nurse: A nurse who completed an accredited nursing program and passed the NCLEX-RN licensure exam. About the RN credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180635526 | Medicaid | AR | — |
Copy-ready billing details
Provider: Stacy Gray, RN NPI: 1114304862 Taxonomy: 163WP0808X (Psychiatric/Mental Health Registered Nurse) Address: 620 S LAUREL ST, Pine Bluff, AR, 71601
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1154412815 | Rhonda Mattox | Individual | Psychiatry Physician | Pine Bluff, AR |
| 1184751687 | Rhonda Wilson | Individual | Case Manager/Care Coordinator | Pine Bluff, AR |
| 1063540151 | Rosalyn Wilson | Individual | Case Manager/Care Coordinator | Pine Bluff, AR |
| 1619000601 | Gertrude Thompkins | Individual | Clinical Social Worker | Pine Bluff, AR |
| 1194846436 | Latoya Hicks | Individual | Case Manager/Care Coordinator | Pine Bluff, AR |
| 1427268838 | Anita Martin | Individual | Mental Health Counselor | Pine Bluff, AR |
| 1588847115 | Christa Hopson | Individual | Registered Nurse | Pine Bluff, AR |
| 1366626368 | Shelia Glass | Individual | Case Manager/Care Coordinator | Pine Bluff, AR |
Verify this record
Cross-check NPI 1114304862 against the authoritative CMS record: view Stacy Gray on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Is NPI 1114304862 active?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-05-01.