Active NPI
Siobhan L Gray, APRN
- Family Nurse Practitioner
- Topeka, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 76228
- Practice address
- 1315 SW 6TH Ave
Topeka, KS 66606-1581 - Phone
- (785) 354-9591
- NPI assigned
- Feb 27, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 76228 | KS | |
| Family Nurse Practitioner | 363LF0000X | 76228 | KS | Primary |
Addresses
Primary practice location
1315 SW 6TH Ave
Topeka, KS 66606-1581
Mailing address
1315 SW 6TH Ave
Topeka, KS 66606-1581
Phone (785) 354-9591
Other practice location 1
1500 SW 10th Ave
Topeka, KS 66604-1301
Phone (785) 354-6000
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | scassidy2386@stormontvaildirect.org | Direct | STORMONT-VAIL HEALTHCARE INC |
| Direct Messaging Address | scassidy2386@stormontvaildirect.org | Direct | COTTON O'NEIL CLINIC REVOCABLE TRUST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141105000252 | KS | Practitioner - Nurse Practitioner | 4789806886 | Reassigns benefits to 2 organizations |
| I20220816003680 | MO | Practitioner - Nurse Practitioner | 4789806886 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Signature Medical Group of KC PA
Practice addresses (Care Compare)
10701 Nall Ave
Suite 200
Overland Park, KS 66211-1358
Phone (913) 381-5225
3151 NE Carnegie Dr
Suite B
Lees Summit, MO 64064-3218
Phone (913) 381-5225
Hospital & facility affiliations
- Adventhealth Shawnee Mission
- Menorah Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76228 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signature Medical Group of KC, PA | Current | Accepting new patients | |
| Cotton-O'Neil Clinic Revocable Trust | Current | Accepting new patients | |
| Cotton-O'Neil Clinic Revocable Trust | Current | Accepting new patients | |
| Signature Medical Group of KC, P.a. | Current | Accepting new patients |
Locations
10701 Nall Ave
Ste 200
Overland Park, KS 66211
Phone (913) 381-5225
1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242
901 SW Garfield Ave
Topeka, KS 66606
1315 SW 6th Ave
Ste A
Topeka, KS 66606
Phone (785) 272-7600
1800 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 523-0100
3151 NE Carnegie Dr
Ste B
Lees Summit, MO 64064
Phone (816) 525-2800
2737 NE McBaine Dr
Ste A
Lees Summit, MO 64064
Phone (913) 381-5225
Interoperability endpoints
- sgray201268@ahs.direct-ci.com
- siobhan.gray@kcbj.eclinicaldirectplus.com
- scassidy2386@stormontvaildirect.org
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Overland Park, KS
- NPI 1992087266
KS, MO
-
- Durable Medical Equipment & Medical Supplies
- Saint Louis, MO
- NPI 1467729988
-
- Durable Medical Equipment & Medical Supplies
- Lees Summit, MO
- NPI 1194116061
-
- Durable Medical Equipment & Medical Supplies
- Topeka, KS
- NPI 1700076015
-
- Durable Medical Equipment & Medical Supplies
- Olathe, KS
- NPI 1750858221
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1912322975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 SW 6TH AVE",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666061581",
"telephone_number": "785-354-9591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 SW 6TH AVE",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666061581",
"telephone_number": "785-354-9591"
}
],
"practiceLocations": [
{
"address_1": "1500 SW 10th Ave",
"address_purpose": "LOCATION",
"city": "Topeka",
"state": "KS",
"postal_code": "666041301",
"country_code": "US",
"telephone_number": "785-354-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAY",
"first_name": "SIOBHAN",
"middle_name": "L",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-27",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "76228",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "76228",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "scassidy2386@stormontvaildirect.org",
"affiliation": "Y",
"endpointDescription": "SVH Secure messaging",
"affiliationName": "STORMONT-VAIL HEALTHCARE INC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1315 SW 6th Ave",
"address_2": "Suite A",
"city": "Topeka",
"state": "KS",
"country_code": "US",
"postal_code": "666061581",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "scassidy2386@stormontvaildirect.org",
"affiliation": "Y",
"endpointDescription": "SVH Secure messaging",
"affiliationName": "COTTON O'NEIL CLINIC REVOCABLE TRUST",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1315 SW 6th Ave",
"address_2": "Suite A",
"city": "Topeka",
"state": "KS",
"country_code": "US",
"postal_code": "666061581",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.