Individual provider Active NPI

Payal Ray

  • Registered Nurse
  • Fairfax, VA
National Provider Identifier
1093440778
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0001271434 Issued in VA
Practice address
12110 Monument Dr Unit 406
Fairfax, VA 22033-5536
Phone
(804) 815-5209
NPI assigned
Jul 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001271434 VA Primary

Addresses

Primary practice location

12110 Monument Dr Unit 406
Fairfax, VA 22033-5536

Mailing address

12110 Monument Dr Unit 406
Fairfax, VA 22033-5536
Phone (804) 815-5209

Other identifiers 1

IdentifierTypeStateIssuer
000000000OtherN/A

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pray242@regiscollege.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0001271434VAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1093440778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12110 MONUMENT DR UNIT 406",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220335536",
            "telephone_number": "804-815-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 MONUMENT DR UNIT 406",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220335536",
            "telephone_number": "804-815-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "PAYAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001271434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "000000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pray242@regiscollege.edu",
            "affiliation": "N",
            "endpointDescription": "Regis College-Weston MA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12110 Monument Dr Unit 406",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220335536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.