SHANNON DEMETRIS GRAY
NPI 1316255441
Licensed Vocational Nurse in Perris, CA

Q: What is Shannon Gray's NPI number?

The NPI number for Shannon Gray is 1316255441. It was assigned to this individual provider in the NPPES registry on September 23, 2010.

Q: What is Shannon Gray's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Gray was last updated on September 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 23, 2010

2290 WILLOWBROOK LN, PERRIS, CA 92571(951) 796-9583 Get Directions Write a Review

NPPES record last updated: September 23, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Shannon Demetris Gray NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON DEMETRIS GRAY (NPI 1316255441) is an individual licensed vocational nurse in Perris, California, licensed in California (VN 221534) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1316255441

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameSHANNON DEMETRIS GRAY

Location Address2290 WILLOWBROOK LNPerris, CA 92571-3517

Mailing Address2290 Willowbrook LnPerris, CA 92571-3517 · (951) 796-9583

Phone(951) 796-9583

Sole ProprietorYes

Enumeration DateSeptember 23, 2010

✔ NPI 1316255441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · VN 221534

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

2290 WILLOWBROOK LN, Perris, CA 92571

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Gray's NPI number?

The NPI number for Shannon Gray is 1316255441. It was assigned to this individual provider in the NPPES registry on September 23, 2010.

Where is Shannon Gray located?

Shannon Gray practices at 2290 Willowbrook Ln, Perris, CA 92571. The listed phone number is (951) 796-9583.

What is Shannon Gray's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Shannon Gray was last updated on September 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.