Collin Luke Ray, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

41000486A Issued in ID

Practice address

3801 Bellemeade Ave Ste 110
Evansville, IN 47714-0111

Phone

(812) 485-8390

NPI assigned

Jun 7, 2024

Sex

Male

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

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: collin.ray.1@7598.direct.athenahealth.com

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1194567511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4536 BAYWOOD CT",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477257545",
            "telephone_number": "208-860-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE STE 110",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140111",
            "telephone_number": "812-485-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "COLLIN",
        "middle_name": "LUKE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ID",
            "license": "41000486A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenda Jo Rauen, OTR/L, CLT
• Lisa M. Rauscher, PA
• Raven Brust, Children'S Home Health
• Theresa Rawlings, PTA
• Barry W Ray, DDS
• Elizabeth Nicole Ray, MS, CCC-SLP
• Meghann Reynolds Ray, PA-C
• Aly A. Razek, M.D.
• Melissa Rea, CNS
• Matt Carson Rebeck, ED.D.

• Podiatrist in Evansville, IN
• Providers in Evansville, IN by specialty
• Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.