Shaunde Gray, MHA, COTA, LIA

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

217657 Issued in TX

Practice address

197 Ira Rd
Mound Bayou, MS 38762-9708

Phone

(713) 569-5269

NPI assigned

Nov 3, 2022

Last updated

Nov 3, 2022By 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

State licenses

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1437866811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 IRA RD",
            "city": "MOUND BAYOU",
            "state": "MS",
            "postal_code": "387629708",
            "telephone_number": "713-569-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 IRA RD",
            "city": "MOUND BAYOU",
            "state": "MS",
            "postal_code": "387629708",
            "telephone_number": "713-569-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SHAUNDE",
        "credential": "MHA, COTA, LIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "217657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Eubanks, DMD
• Inge B Ford, DMD
• Rotonia Gates, LPN
• Candace L. Gillespie, ED. D., NCC, LPC
• Laura Grant
• Home of Care Personal Care Services
• Beverly C Johnson, MSW
• Carol Mack, LCSW
• Making Moves in the Community, Incorporated
• Drahea Martin, DDS

• Pediatric Occupational Therapist in Mound Bayou, MS
• Providers in Mound Bayou, MS by specialty
• Pediatric Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.