MRS. SHANNON MARKETA GRAY RN
NPI 1699409771
Registered Nurse - Administrator in Suffolk, VA

Q: What is Shannon Gray's NPI number?

The NPI number for Shannon Gray is 1699409771. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Q: What is Shannon Gray's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Administrator, with taxonomy code 163WA2000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Gray was last updated on November 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 13, 2022

819 WALNUT PARK DR, SUFFOLK, VA 23434(757) 725-1018 Get Directions Write a Review

NPPES record last updated: November 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2022, Jul 13, 2022 (2 updates tracked since 2022).

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About Mrs. Shannon Marketa Gray Rn NPPES

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

MRS. SHANNON MARKETA GRAY RN (NPI 1699409771) is an individual administrator provider in Suffolk, Virginia, licensed in Virginia (0001294835) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1699409771

Entity TypeIndividualFemale

Primary Taxonomy163WA2000X

Provider Legal NameMRS. SHANNON MARKETA GRAYCredential: RN

Location Address819 WALNUT PARK DRSuffolk, VA 23434-4159

Mailing Address819 Walnut Park DrSuffolk, VA 23434-4159 · (757) 725-1018

Phone(757) 725-1018

Sole ProprietorNo

Enumeration DateJuly 13, 2022

Last NPPES UpdateNovember 11, 20222 updates tracked since enumeration

NPPES CertifiedNovember 10, 2022

✔ NPI 1699409771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · AdministratorNursing Service Providers

Taxonomy Code163WA2000X

License✔ Licensed in VA · 0001294835

819 WALNUT PARK DR, Suffolk, VA 23434

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EXCEL IN CARE HOME HEALTH AGENCY, LLC

Home Health

819 WALNUT PARK DR
SUFFOLK, VA 23434

Suffolk City (757) 725-1018

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 1699409771. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Where is Shannon Gray located?

Shannon Gray practices at 819 Walnut Park Dr, Suffolk, VA 23434. The listed phone number is (757) 725-1018.

What is Shannon Gray's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Administrator, with taxonomy code 163WA2000X.

When was this NPI record last updated?

The NPPES record for Shannon Gray was last updated on November 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.