Shannon Rochelle Gray, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

612162 Issued in TX

Practice address

7612 87TH St
Lubbock, TX 79424-5086

Phone

(432) 386-3900

NPI assigned

Jan 15, 2021

Last updated

Jan 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1427647221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7612 87TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794245086",
            "telephone_number": "432-386-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7612 87TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794245086",
            "telephone_number": "432-386-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SHANNON",
        "middle_name": "ROCHELLE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "612162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James G Grattan, M.D.
• Taylor Jacquelynn Gray Wlazlo, MD
• Andy John Gray, M.D.
• David Alan Gray, DO
• Jessica Lee Gray, M.D.
• Shawna Brenet Gray, FNP-BC
• Travis Gray
• Lynnette Greak, M.ED., L.P.C.
• Great Plains Anesthesia
• Great Plains Care Team

• Registered Nurse in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.