Teresa Ray, AGACNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

0024174194 Issued in VA

Practice address

5261 Carrollton Pike
Woodlawn, VA 24381-3034

Phone

(276) 601-6197

Fax

(276) 601-6156

NPI assigned

Feb 27, 2017

Last updated

Feb 27, 2017By 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

Enrolled in VA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DLP Twin County Physician Practices LLCGroup PAC ID 7214199512, 119 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Blue Ridge Home Health Care Home health agency, Galax, VA, CCN 497643
• Twin County Regional Hospital Hospital, Galax, VA, CCN 490115

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: teresa.ray.1@10112.direct.athenahealth.com

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.

• DLP Twin County Physician Practices LLC

  dba Twin County Sleep Center

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Galax, VA
  • NPI 1962078527
  Medicare reassignment Care Compare group NPD
• DLP Twin County Physician Practices LLC

  dba Twin County Obstetrics & Gynecology

  • Surgery Physician
  • Galax, VA
  • NPI 1033485925
  NPD
• DLP Twin County Physician Practices LLC

  dba Twin County Family Care Center of Hillsville

  • Family Medicine Physician
  • Hillsville, VA
  • NPI 1497020226
  NPD
• DLP Twin County Physician Practices LLC

  dba Galax Family Care Center

  • Family Medicine Physician
  • Galax, VA
  • NPI 1235404047
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Blue Ridge Home Health Care

  dba Blue Ridge Home Health Care Services, Inc.

  • Home Health Agency
  • Galax, VA
  • NPI 1801042866
  Care Compare affiliation
• DLP Twin County Regional Healthcare LLC

  dba Twin County Regional Hospital

  • General Acute Care Hospital
  • Galax, VA
  • NPI 1114292141
  Care Compare affiliation
• DLP Twin County Regional Healthcare LLC

  • Physical Therapy Clinic/Center
  • Galax, VA
  • NPI 1801161369

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1235679085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5261 CARROLLTON PIKE",
            "city": "WOODLAWN",
            "state": "VA",
            "postal_code": "243813034",
            "telephone_number": "276-601-6197",
            "fax_number": "276-601-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5261 CARROLLTON PIKE",
            "city": "WOODLAWN",
            "state": "VA",
            "postal_code": "243813034",
            "telephone_number": "276-601-6197",
            "fax_number": "276-601-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "TERESA",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024174194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Melodi Fiscus Poole, PA-C
• Pro Careers Inc./GCD
• Pro Careers Inc./GPC
• Pro Careers Inc./GR
• Torilyn Camille Quesenberry, FNP-C
• Restoring Pathways, LLC
• Leigh Ann Richardson, FNPC
• Rise & Shine Pediatric Therapy PLLC
• Tina Lane Sheets, LPC
• Jamie Wood Smith, FNP

• Gerontology Nurse Practitioner in Woodlawn, VA
• Providers in Woodlawn, VA by specialty
• Gerontology Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.