NA-Shaunda Rayford

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

10247988 Issued in IN

Practice address

1200 S Clinton St
Fort Wayne, IN 46802-3504

Phone

(260) 467-1163

Fax

(260) 467-1188

NPI assigned

Feb 7, 2024

Last updated

Feb 13, 2024By the provider in NPPES

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

Practice roles

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

• Fort Wayne Community Schools

  • Local Education Agency (LEA)
  • Fort Wayne, IN
  • NPI 1801008438
  NPD (past)

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1174387591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S CLINTON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468023504",
            "telephone_number": "260-467-1163",
            "fax_number": "260-467-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S CLINTON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468023504",
            "telephone_number": "260-467-1163",
            "fax_number": "260-467-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYFORD",
        "first_name": "NA-SHAUNDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IN",
            "license": "10247988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keren Ray, DO
• Rachelle Lynn Ray
• Ranae B. Ray, NP
• Regan Ray, RBT
• Tracy Ray
• Jo A Rayl
• Amanda Raypole
• Brian Thomas Raypole, LAT ATC
• RCG Indiana, L.L.C. (Fresenius Medical Care Fort Wayne Jefferson)
• RDR Devine, LLC

• School Psychologist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• School Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.