Individual provider Active NPI

Latoria Ray, FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1245820901
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
186424 Issued in TN
Practice address
1045 Mullins Station Rd
Memphis, TN 38134-7723
Phone
(901) 222-8626
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 186424 TN
Family Nurse Practitioner 363LF0000X 186424 TN Primary

Addresses

Primary practice location

1045 Mullins Station Rd
Memphis, TN 38134-7723

Mailing address

5120 Farmland Way
Bartlett, TN 38002-2504
Phone (901) 409-2786

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL latray@wellpath.us Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20220504001224 TN Practitioner - Nurse Practitioner 9931596327 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH MSSP Services TN PLLCGroup PAC ID 0042603656, 48 clinicians
Curana Health of Tennessee LLCGroup PAC ID 7416261482, 56 clinicians

Practice addresses (Care Compare)

Memphis, TN 38103
Phone (337) 991-9276

5865 Ridgeway Ctr Pkwy
Memphis, TN 38120-4032
Phone (337) 991-9276

Hospital & facility affiliations

  • St Francis Hospital Hospital, Memphis, TN, CCN 440183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
186424TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Tennessee LLC Family CurrentSince May 2, 2022 Accepting new patients

Locations

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

5865 Ridgeway Center Pkwy
Memphis, TN 38120
Phone (901) 219-1295

100 Peabody Pl
Ste 150
Memphis, TN 38103

Organizations & group practices 3

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1245820901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 FARMLAND WAY",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "380022504",
            "telephone_number": "901-409-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 MULLINS STATION RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347723",
            "telephone_number": "901-222-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "LATORIA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "186424",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "186424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "latray@wellpath.us",
            "affiliation": "N",
            "endpointDescription": "latray@wellpath.us",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1045 Mullins Station Rd",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381347723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.