MINDY M. GRAY MS, RDN
NPI 1669968236
Dietitian, Registered in Grain Valley, MO

Active since July 07, 2018
1431 NW WILLOW DR, GRAIN VALLEY, MO 64029(816) 519-2175 Get Directions Write a Review

NPPES record last updated: July 7, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mindy M. Gray Ms, Rdn NPPES

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

MINDY M. GRAY MS, RDN (NPI 1669968236) is an individual dietitian, registered in Grain Valley, Missouri, licensed in Kansas (1486) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1669968236
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMINDY M. GRAYCredential: MS, RDN
Location Address1431 NW WILLOW DRGrain Valley, MO 64029-8006
Mailing AddressPo Box 502Grain Valley, MO 64029-0502 · (816) 519-2175
Sole ProprietorYes
Enumeration DateJuly 7, 2018
✔ NPI 1669968236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in KS · 1486
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1431 NW WILLOW DR, Grain Valley, MO 64029

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mindy M. Gray Ms, Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

8

Medicare enrollment records show Mindy Gray reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
7300 W 110TH ST STE 700
Overland Park, KS 66210
  • Reassigned Medicare billing, Missouri enrollment
Clinic/Center
325 N SAINT PAUL ST STE 3100
Dallas, TX 75201
  • Reassigned Medicare billing, Missouri enrollment
Clinic/Center
100 W BIG BEAVER RD STE 200
Troy, MI 48084
  • Reassigned Medicare billing, Missouri enrollment
Multi-Specialty
510 CLINTON SQ
Rochester, NY 14604
  • Reassigned Medicare billing, Missouri enrollment
Multi-Specialty
1209 N ORANGE ST
Wilmington, DE 19801
  • Reassigned Medicare billing, Missouri enrollment
Clinic/Center
111 N ORANGE AVE STE 800
Orlando, FL 32801
  • Reassigned Medicare billing, Missouri enrollment
Clinic/Center
221 RIVER ST STE 9
Hoboken, NJ 07030
  • Reassigned Medicare billing, Missouri enrollment
Clinic/Center
1200 WILSHIRE BLVD STE 800
Los Angeles, CA 90017
  • Reassigned Medicare billing, Missouri enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mindy Gray's NPI number?

The NPI number for Mindy Gray is 1669968236. It was assigned to this individual provider in the NPPES registry on July 7, 2018.

Where is Mindy Gray located?

Mindy Gray practices at 1431 NW Willow Dr, Grain Valley, MO 64029. The listed phone number is (816) 519-2175.

What is Mindy Gray's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Mindy Gray enrolled in Medicare?

Yes. Mindy Gray is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mindy Gray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mindy Gray reassigns Medicare benefits to 8 organizations: Lifemd Kansas Patient Medical Care PA (Overland Park, KS), Lifemd South Central Patient Medical Care PA (Dallas, TX), Lifemd Midwest Patient Medical Care PC (Troy, MI), New York Patient Medical Care PC (Rochester, NY), Lifemd New England Patient Medical Care PA (Wilmington, DE) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mindy Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mindy Gray accept?

Health plans from Blue Cross and Blue Shield of Texas list Mindy Gray as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mindy Gray was last updated on July 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.