Individual provider Active NPI

Kerry M McCray, N.P.

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1255435699
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7736 Issued in AZ
Practice address
301 Virginia St Unit 605
Richmond, VA 23219-4172
Phone
(928) 925-1940
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 01966 RI
Family Nurse Practitioner 363LF0000X 079676-23 NH
Family Nurse Practitioner 363LF0000X 101.0134309 VT
Family Nurse Practitioner 363LF0000X AP60724954 WA
Family Nurse Practitioner 363LF0000X RN1032372 DC
Family Nurse Practitioner 363LF0000X AC002147 MD
Family Nurse Practitioner 363LF0000X AP7736 AZ Primary

Addresses

Primary practice location

301 Virginia St Unit 605
Richmond, VA 23219-4172

Mailing address

301 Virginia St Unit 605
Richmond, VA 23219-4172
Phone (928) 925-1940

Other identifiers 1

IdentifierTypeStateIssuer
010229138MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP7736AZMDFamily Nurse Practitioner
RN1032372DCMDFamily Nurse Practitioner
AC002147MDMDFamily Nurse Practitioner
079676-23NHMDFamily Nurse Practitioner
01966RIMDFamily Nurse Practitioner
101.0134309VTMDFamily Nurse Practitioner
AP60724954WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Partner Telehealth LLC CurrentSince May 17, 2020 Accepting new patients
MCV Associated Physicians Emergency Medicine PastSince Sep 28, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1255435699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 VIRGINIA ST UNIT 605",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232194172",
            "telephone_number": "928-925-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 VIRGINIA ST UNIT 605",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232194172",
            "telephone_number": "928-925-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRAY",
        "first_name": "KERRY",
        "middle_name": "M",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "01966",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "079676-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0134309",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60724954",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1032372",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC002147",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010229138",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.