Individual provider Active NPI

Kyndel Gray, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1457058620
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136359 Issued in TX
Practice address
7602 Great Trinity Forest Way
Dallas, TX 75217-6650
Phone
(469) 779-2000
Fax
(877) 441-1590
NPI assigned
Feb 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP136359 TX Primary

Addresses

Primary practice location

7602 Great Trinity Forest Way
Dallas, TX 75217-6650

Mailing address

7602 Great Trinity Forest Way
Dallas, TX 75217-6650
Phone (469) 779-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heavenly Hands Hope Foundation CurrentSince Jul 16, 2023 Accepting new patients
Heavenly Hands Family Medical Clinic, PLLC CurrentSince Feb 12, 2023 Accepting new patients

Locations

7602 Great Trinity Forest Way
Dallas, TX 75217
Phone (469) 779-2000

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1457058620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7602 GREAT TRINITY FOREST WAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752176650",
            "telephone_number": "469-779-2000",
            "fax_number": "877-441-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7602 GREAT TRINITY FOREST WAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752176650",
            "telephone_number": "469-779-2000",
            "fax_number": "877-441-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "KYNDEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.