Individual provider Active NPI

Katelyn Gray, RN,BSN,PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Denver, CO
National Provider Identifier
1588289904
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0998228-NP Issued in CO
Practice address
1312 17TH St Unit 2376
Denver, CO 80202-1508
Phone
(915) 336-2125
Fax
(720) 680-3420
NPI assigned
Jun 11, 2020
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0998228-NP CO Primary

Addresses

Primary practice location

1312 17TH St Unit 2376
Denver, CO 80202-1508

Mailing address

1312 17TH St Unit 2376
Denver, CO 80202-1508
Phone (915) 336-2125

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
Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sannyasa Gray Mental Health Psychiatric/Mental Health CurrentSince Sep 15, 2024 Accepting new patients

Locations

1312 17th St
Denver, CO 80202
Phone (303) 997-0305

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1588289904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 17TH ST UNIT 2376",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021508",
            "telephone_number": "915-336-2125",
            "fax_number": "720-680-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 17TH ST UNIT 2376",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021508",
            "telephone_number": "915-336-2125",
            "fax_number": "720-680-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "KATELYN",
        "credential": "RN,BSN,PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0998228-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.