Mindy M. Gray, MS, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1486 Issued in KS

Practice address

1431 NW Willow Dr
Grain Valley, MO 64029-8006

Phone

(816) 519-2175

NPI assigned

Jul 7, 2018

Last updated

Jul 7, 2018By 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

Enrolled in MO

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifemd Atlantic Patient Medical Care PC

  • Clinic/Center
  • Hoboken, NJ
  • NPI 1164100657

  MO, Single Specialty

  Medicare reassignment NPD
• Lifemd Kansas Patient Medical Care PA

  • Clinic/Center
  • Overland Park, KS
  • NPI 1073353850

  MO, Single Specialty

  Medicare reassignment NPD
• Lifemd Midwest Patient Medical Care PC

  • Clinic/Center
  • Troy, MI
  • NPI 1497433734

  MO, Single Specialty

  Medicare reassignment NPD
• Lifemd New England Patient Medical Care PA

  • Multi-Specialty Clinic/Center
  • Wilmington, DE
  • NPI 1376305847

  MO, Single Specialty

  Medicare reassignment NPD
• Lifemd South Central Patient Medical Care PA

  • Clinic/Center
  • Dallas, TX
  • NPI 1871270348

  MO, Single Specialty

  Medicare reassignment NPD
• Lifemd Southern Patient Medical Care PC

  • Clinic/Center
  • Orlando, FL
  • NPI 1417635921

  MO, Single Specialty

  Medicare reassignment NPD
• New York Patient Medical Care PC

  • Multi-Specialty Clinic/Center
  • Rochester, NY
  • NPI 1629757919

  MO, Single Specialty

  Medicare reassignment NPD
• Puopolo MD PC

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1477230928

  MO, Single Specialty

  Medicare reassignment NPD
• Body Lab

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Newington, CT
  • NPI 1134965973
  NPD

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

{
    "created_epoch": "1530921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530921600000",
    "number": "1669968236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 502",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640290502",
            "telephone_number": "816-519-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 NW WILLOW DR",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640298006",
            "telephone_number": "816-519-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "MINDY",
        "middle_name": "M.",
        "credential": "MS, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-07",
        "last_updated": "2018-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "1486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Gibson
• Rachel E Gordon, MD
• Grain Valley Center for Functional Medicine
• Grain Valley Chiropractic, LLC
• Grain Valley R-V School District
• Erin Griesbauer
• Samantha Jo Griesinger
• Alexa Gust
• Gracelyn Marie Gutierrez
• Malia Kelly, Alexis Gutierrez

• Registered Dietitian in Grain Valley, MO
• Providers in Grain Valley, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.