MEDICARE: ON THE MEND PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1548186034
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ON THE MEND PLLC

Provider Business Mailing Address
First Line	:	PO BOX 43353
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40253-0353
Country	:	US
Telephone Number	:	3
Fax Number	:

Provider Business Practice Location Address
First Line	:	212 N 2ND ST STE 100
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-1408
Country	:	US
Telephone Number	:	3
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JOSHUA L GRAY
Credential	:	APRN
Telephone Number	:	502-649-7132

Provider Enumeration Date	:	06/29/2026
Last Update Date	:	06/29/2026

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Directions to “ON THE MEND PLLC ” Practice Location

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