Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tiffany Monique Gray

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1053120014

Tiffany Monique Gray is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2024, 2 years ago. Practices with Integrahealth LLC, a 46-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
2
Licensed in
MD
In the registry since
2025
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Practice location Address checks out

4320 Glenmore Ave
Baltimore, MD 21206-1919
Phone: (443) 570-5072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R149695 (MD)

Record details

NPI number1053120014
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 4, 2025
Last updated in NPPESJanuary 4, 2025
Certification dateJanuary 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Integrahealth Llc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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