Shannon Ann Gray, BHCM I

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

311695 Issued in OK

Practice address

2121 S 125TH E Ave Suite 106
Tulsa, OK 74129-5115

Phone

(918) 574-8442

NPI assigned

Jun 15, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Shannon Ann Chaplin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720828800000",
    "number": "1205366705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 E 128TH ST S",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740082742",
            "telephone_number": "918-955-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S 125TH E AVE SUITE 106",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741295115",
            "telephone_number": "918-574-8442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6104 E 128th St S",
            "address_purpose": "LOCATION",
            "city": "Bixby",
            "state": "OK",
            "postal_code": "740082742",
            "country_code": "US",
            "telephone_number": "918-955-2030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SHANNON",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "BHCM I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": "311695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "CHAPLIN",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Morgan Gray, DO
• Presley Gray, PA
• Rachel Gray
• Rachel Gray
• Rebekah Leanne Gray, APRN
• Von McNeil Gray
• Wesley Derringer Gray Jr.
• William Knight Gray, MD
• Elizabeth Ann Grayson, LADC/C, LPC-C
• Jessica Denise Grayson

• Case Manager/Care Coordinator in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.