Active NPI
Jennifer Corrine Ray, MS, RD/LD
- Registered Dietitian
- Edmond, OK
National Provider Identifier
1285888917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1626
- Practice address
- 4200 Copper Rock Dr
Edmond, OK 73025-2947 - Phone
- (405) 833-3891
- NPI assigned
- Nov 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1626 | OK | Primary |
Addresses
Primary practice location
4200 Copper Rock Dr
Edmond, OK 73025-2947
Mailing address
4200 Copper Rock Dr
Edmond, OK 73025-2947
Phone (405) 833-3891
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1626 | Other | OK | LICENSED DIETITIAN |
| 997092 | Other | OK | REGISTERED DIETITIAN |
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1626 | OK | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1285888917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 COPPER ROCK DR",
"city": "EDMOND",
"state": "OK",
"postal_code": "730252947",
"telephone_number": "405-833-3891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 COPPER ROCK DR",
"city": "EDMOND",
"state": "OK",
"postal_code": "730252947",
"telephone_number": "405-833-3891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "JENNIFER",
"middle_name": "CORRINE",
"credential": "MS, RD/LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-07",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "1626",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED DIETITIAN",
"identifier": "1626",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED DIETITIAN",
"identifier": "997092",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.