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Shannon Ann Gray , BHCM I

Case Manager/Care Coordinator β€’ Tulsa, OK

Active NPI 1205366705 Individual Practitioner Female Practitioner
Practice location in NPPES

2121 S 125th E Ave Suite 106
Tulsa, OK 741295115

Call 9185748442 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2121 S 125th E Ave Suite 106

Tulsa, OK 741295115

Telephone 9185748442
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Bixby, OK. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Tulsa and Oklahoma

2,123 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Tulsa, OK (8,979 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tulsa

0% of these 2,123 clinicians have the CMS telehealth indicator.

0.2% of these 2,123 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-07-13
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

License # reported to NPPES OK 311695

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Secondary Practice Locations

6104 E 128th St S

Bixby, OK 740082742

Phone: 9189552030

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location July 13, 2024

Registered at 2121 S 125TH E AVE SUITE 106, TULSA, OK 741295115 (Tel: 9185748442)

🏒
Secondary Practice Location Registered July 13, 2024

Additional practice office at 6104 E 128th St S, Bixby, OK 740082742

πŸ“
Updated Practice Location April 06, 2023

Registered at 2227 S GARNETT RD STE 109, TULSA, OK 741295115 (Tel: 9184709605)

πŸ“
Updated Business Mailing Address April 06, 2023

Registered at 6104 E 128TH ST S, BIXBY, OK 740082742 (Tel: 9189552030)

πŸ‘€
Provider Name / Credentials Updated April 06, 2023

Recorded as SHANNON GRAY, BHCM I

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2023

Case Manager/Care Coordinator (license number reported to NPPES: OK 311695)

βœ…
NPI Profile Active June 19, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 19, 2017

Registered at 1542 E 74TH ST, TULSA, OK 741367334 (Tel: (918) 955-2030)

πŸ“
Business Mailing Address (Initial Record) June 19, 2017

Registered at 1542 E 74TH ST, TULSA, OK 741367334 (Tel: 9189552030)

πŸ‘€
Provider Name / Credentials (Initial Record) June 19, 2017

Recorded as SHANNON GRAY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2017

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration June 15, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1205366705
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2017
Last Update: July 13, 2024
Sole Proprietor: No

Mailing Address

6104 E 128th St S

Bixby, OK 740082742

Phone: 9189552030

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.