Elisa Marie Ray, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2010022088 Issued in MO

Practice address

1254 SE Century Dr
Lees Summit, MO 64081-3286

Phone

(816) 668-8938

NPI assigned

Jul 25, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1063768257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10609 OAKLAND AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641341947",
            "telephone_number": "816-668-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 SE CENTURY DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813286",
            "telephone_number": "816-668-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "ELISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2010022088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Randolph, LMSW
• Mark Andrew Randtke, CRNA
• Minar Rane
• Jay Herbert Rapley, M.D.
• Kristen Ras, D.C.
• James Edward Ray
• Ronald Ray
• Alyson Raymond, DO
• Shervin Razavian, MD
• Rebecca McConville Incorporated

• Athletic Trainer in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.