| Mindy M Gray, MS, RDN | |
|
1431 Nw Willow Dr, Grain Valley, MO 64029-8006 | |
| (816) 519-2175 | |
| Not Available |
| Full Name | Mindy M Gray |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 9 Years |
| Location | 1431 Nw Willow Dr, Grain Valley, Missouri |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669968236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1486 (Kansas) | Primary |
| Provider Name | Lifemd Atlantic Patient Medical Care PC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164100657 PECOS PAC ID: 2163868217 Enrollment ID: O20250911001100 |
| Provider Name | Lifemd Southern Patient Medical Care PC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417635921 PECOS PAC ID: 7618311820 Enrollment ID: O20250911001326 |
| Provider Name | Lifemd South Central Patient Medical Care PA |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871270348 PECOS PAC ID: 0345779864 Enrollment ID: O20250911002423 |
| Provider Name | Puopolo MD PC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477230928 PECOS PAC ID: 0547605701 Enrollment ID: O20250916002266 |
| Provider Name | Lifemd Midwest Patient Medical Care PC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497433734 PECOS PAC ID: 3779929393 Enrollment ID: O20250917004410 |
| Provider Name | Lifemd Kansas Patient Medical Care PA |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073353850 PECOS PAC ID: 3072048891 Enrollment ID: O20251009001587 |
| Provider Name | Lifemd New England Patient Medical Care PA |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376305847 PECOS PAC ID: 5395270409 Enrollment ID: O20251013000602 |
| Provider Name | New York Patient Medical Care PC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629757919 PECOS PAC ID: 4183060643 Enrollment ID: O20251016001826 |
| Mailing Address | Practice Location Address |
|---|---|
| Mindy M Gray, MS, RDN Po Box 502, Grain Valley, MO 64029-0502 Ph: (816) 519-2175 | Mindy M Gray, MS, RDN 1431 Nw Willow Dr, Grain Valley, MO 64029-8006 Ph: (816) 519-2175 |
Carsen Sporleder, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1210 Nw Sni-a-bar Blvd Unit 205, Grain Valley, MO 64029 Phone: 660-342-8098 |