Individual provider Active NPI

Therese Marie Ray, M.D.

  • Family Medicine Physician
  • Burlington, VT
National Provider Identifier
1043667207
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042.0015080 Issued in VT
Practice address
789 Pine St
Burlington, VT 05401-4924
Phone
(802) 864-0693
NPI assigned
May 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 042.0015080 VT Primary

Addresses

Primary practice location

789 Pine St
Burlington, VT 05401-4924

Mailing address

789 Pine St
Burlington, VT 05401-4924
Phone (802) 864-0693

Other practice location 1

3 Crest Rd
Saint Albans, VT 05478-9753
Phone (802) 524-4554

Other practice location 2

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000

Other practice location 3

32 Malletts Bay Ave Ste B
Winooski, VT 05404-1960
Phone (802) 655-4422

Other practice location 4

617 Riverside Ave
Burlington, VT 05401-1601
Phone (802) 864-6309

Other practice location 5

87 Main St
Essex Junction, VT 05452-3234
Phone (802) 860-4324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201214002612 VT Practitioner - Family Practice 7416241641 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Vermont College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers of Burlington IncGroup PAC ID 2062491251, 84 clinicians

Practice addresses (Care Compare)

789 Pine St
Burlington, VT 05401-4924
Phone (802) 864-0693

Hospital & facility affiliations

  • Uvmhn Home Health and Hospice Home health agency, Colchester, VT, CCN 477000
  • Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003
  • Northwestern Medical Center Inc Hospital, Saint Albans, VT, CCN 470024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042.0015080VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Richford Health Center Inc CurrentSince Oct 1, 2020 Accepting new patients
Community Health Centers of Burlington Inc Family Medicine CurrentSince Sep 14, 2025 Accepting new patients
The Richford Health Center Inc Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Community Health Centers of Burlington Inc CurrentSince Sep 14, 2025 Accepting new patients
University of Vermont Medical Center Inc Family Medicine Past Accepting new patients
Community Health Centers of Burlington Inc Past Accepting new patients
The Richford Health Center Inc Family Medicine Past Accepting new patients

Locations

617 Riverside Ave
Ste 200
Burlington, VT 05401

617 Riverside Ave
Burlington, VT 05401
Phone (802) 264-8158

789 Pine St
Burlington, VT 05401
Phone (802) 264-1052

87 Main St
Essex Junction, VT 05452
Phone (802) 404-1350

4178 Highbridge Rd
Fairfax, VT 05454
Phone (802) 524-9595

1199 Main St
Fairfax, VT 05454
Phone (802) 849-2023

44 Main St
Ste 200
Richford, VT 05476
Phone (802) 255-5500

3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554

12 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554

26 Canada St
Swanton, VT 05488
Phone (800) 868-2454

32 Malletts Bay Ave
Ste B
Winooski, VT 05404
Phone (802) 655-4422

Interoperability endpoints

  • Direct secure messaging: therese.ray.p1@direct.chcb.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1043667207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 PINE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014924",
            "telephone_number": "802-864-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 PINE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014924",
            "telephone_number": "802-864-0693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Crest Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Albans",
            "state": "VT",
            "postal_code": "054789753",
            "country_code": "US",
            "telephone_number": "802-524-4554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Beekman St",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129011438",
            "country_code": "US",
            "telephone_number": "518-561-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32 Malletts Bay Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Winooski",
            "state": "VT",
            "postal_code": "054041960",
            "country_code": "US",
            "telephone_number": "802-655-4422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "617 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054011601",
            "country_code": "US",
            "telephone_number": "802-864-6309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "87 Main St",
            "address_purpose": "LOCATION",
            "city": "Essex Junction",
            "state": "VT",
            "postal_code": "054523234",
            "country_code": "US",
            "telephone_number": "802-860-4324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "THERESE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042.0015080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.