Active NPI
Rachel Ann Ray, MD
- Pediatrics Physician
- Lakeland, FL
National Provider Identifier
1316911522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0065711
- Practice address
- 1920 Lakeland Hills Blvd
Lakeland, FL 33805-2902 - Phone
- (863) 683-4661
- Fax
- (863) 683-2579
- NPI assigned
- Feb 14, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0065711 | FL | Primary |
Addresses
Primary practice location
1920 Lakeland Hills Blvd
Lakeland, FL 33805-2902
Mailing address
900 S Pine Island Rd Ste 800
Plantation, FL 33324-3923
Phone (863) 683-4661
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 377967000 | Medicaid | FL | |
| 212530 | Other | AMERIGROUP | |
| 27345 | Other | FL | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rachel.ray@pedsassoc.eclinicaldirectplus.com |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0065711 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saltzman, Tanis, Pittell, Levin and Jacobson | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Hollywood, FL
- NPI 1639138480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633392000000",
"number": "1316911522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S PINE ISLAND RD STE 800",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243923",
"telephone_number": "863-683-4661",
"fax_number": "863-683-2579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338052902",
"telephone_number": "863-683-4661",
"fax_number": "863-683-2579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "RACHEL",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0065711",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "377967000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "212530",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "27345",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rachel.ray@pedsassoc.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "1920 Lakeland Hills Blvd",
"city": "Lakeland",
"state": "FL",
"country_code": "US",
"postal_code": "338052902",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.