Kecia Spencer Ray, O.T.R.

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT1337 Issued in MS

Practice address

1635 Boling St
Jackson, MS 39213-4418

Phone

(601) 366-0123

Fax

(601) 366-0649

NPI assigned

Mar 17, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Willowood Developmental Center

  • Developmentally Disabled Services Day Training Agency
  • Jackson, MS
  • NPI 1174991855
  NPD (past)
• Willowood Developmental Center

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Jackson, MS
  • NPI 1831243070
  NPD (past)

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1225209489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 BOLING ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392134418",
            "telephone_number": "601-366-0123",
            "fax_number": "601-366-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 BOLING ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392134418",
            "telephone_number": "601-366-0123",
            "fax_number": "601-366-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "KECIA",
        "middle_name": "SPENCER",
        "name_prefix": "Mrs.",
        "credential": "O.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "OT1337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9015618",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanja Raucher, M.D.
• Ragen Layne Rawson, FNP-C
• Twila W. Rawson, PH.D.
• Elizabeth A Ray, R.D.
• Katie Ray
• Kelly Matthew Ray, CRNA
• Kimberly Palmer Ray, PHD, BCBA-D
• Linda Ilene Ray, M.D.
• Melinda S. Ray, M.D.
• William Franklin Rayburn, M.D.

• Specialist in Jackson, MS
• Providers in Jackson, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.