Organization Active NPI

Valleyview Family Care LLC

  • Family Medicine Physician
  • Olathe, KS
National Provider Identifier
1750785606
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0430824 Issued in KS
Legal business name
VALLEYVIEW FAMILY CARE LLC
Practice address
13839 S Mur Len Rd
Suite H
Olathe, KS 66062-1685
Phone
(913) 839-8614
NPI assigned
Oct 20, 2014
Last updated
Dec 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Authorized official

Name
Dr. Shalaunda Kaye Gray, MDNPI 1467545863
Title
Physician
Phone
(913) 839-8614

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0430824 KS Primary

Addresses

Primary practice location

13839 S Mur Len Rd
Suite H
Olathe, KS 66062-1685

Mailing address

13839 S Mur Len Rd
Suite H
Olathe, KS 66062-1685
Phone (913) 839-8614

Other identifiers 2

IdentifierTypeStateIssuer
34398046OtherKSBCBS OF KANSAS
200266760HMedicaidKS

National Provider Directory

National Provider Directory

Locations

13839 S Mur Len Rd
Ste H
Olathe, KS 66062
Phone (913) 717-8551

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1750785606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13839 S MUR LEN RD",
            "address_2": "SUITE H",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621685",
            "telephone_number": "913-839-8614",
            "fax_number": "913-839-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13839 S MUR LEN RD",
            "address_2": "SUITE H",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621685",
            "telephone_number": "913-839-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEYVIEW FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "SHALAUNDA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "913-839-8614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0430824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS",
            "identifier": "34398046",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200266760H",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.