Brandy Marie Gray, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F07201224 Issued in KS

Practice address

2040 Hutton Rd
Kansas City, KS 66109-4526

Phone

(913) 299-3700

NPI assigned

Apr 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prime Healthcare Physician Services - Providence Inc

  • General Practice Physician
  • Shawnee, KS
  • NPI 1356683213
  Medicare reassignment NPD
• Sunflower Medical Group PA

  • Internal Medicine Physician
  • Roeland Park, KS
  • NPI 1811955024
  Medicare reassignment NPD
• Prime Healthcare Physician Services - Providence Inc

  • General Practice Physician
  • Leavenworth, KS
  • NPI 1972119741
  NPD
• Sunflower Medical Group, PA

  • Urgent Care Clinic/Center
  • Roeland Park, KS
  • NPI 1063683902
  NPD

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1376163089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N 13TH ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660481216",
            "telephone_number": "913-426-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 HUTTON RD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661094526",
            "telephone_number": "913-299-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660485044",
            "country_code": "US",
            "telephone_number": "913-680-6350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5657 Roe BLVD",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Roeland Park",
            "state": "KS",
            "postal_code": "66205",
            "country_code": "US",
            "telephone_number": "913-432-5183 x340",
            "fax_number": "913-432-5183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "BRANDY",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2021-03-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "104843",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "F07201224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Grauer, BS, MS, PHD
• Evan Thomas Graumann, MD
• Amya Graves
• Jordan Kristine Graves
• Gray Horse Mental Wellness LLC
• Lauren Leigh Gray, CRNA
• Meredith Kathleen Gray, M.D.
• Riley Gray, DO
• Taylor Nicole Gray
• William Eric Gray, CRNA

• Family Nurse Practitioner in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.