Individual provider Active NPI

Siobhan L Gray, APRN

  • Family Nurse Practitioner
  • Topeka, KS
National Provider Identifier
1912322975
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
76228 Issued in KS
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

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 PAGroup PAC ID 7618144056, 27 clinicians

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 Hospital, Shawnee Mission, KS, CCN 170104
  • Menorah Medical Center Hospital, Overland Park, KS, CCN 170182

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76228KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Medical Group of KC, PA CurrentSince Jan 3, 2025 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Jul 22, 2020 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Jul 22, 2020 Accepting new patients
Signature Medical Group of KC, P.a. CurrentSince Jan 3, 2025 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

  • Direct secure messaging: sgray201268@ahs.direct-ci.com
  • Direct secure messaging: siobhan.gray@kcbj.eclinicaldirectplus.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.