Lisa Diane Ray, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

SP022794 Issued in PA

Practice address

25 4TH Ave
Scottdale, PA 15683-2110

Phone

(412) 610-6483

NPI assigned

Jan 7, 2021

Last updated

Jan 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1346838059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 4TH AVE",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156832110",
            "telephone_number": "412-610-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 4TH AVE",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156832110",
            "telephone_number": "412-610-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "LISA",
        "middle_name": "DIANE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP022794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.matrixmedicalnetwork.com",
            "affiliation": "N",
            "endpointDescription": "employer",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "employment",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "abcdefg",
            "address_1": "25 4th Ave",
            "city": "Scottdale",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156832110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.matrixmedicalnetwork.com",
            "affiliation": "N",
            "endpointDescription": "employer",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "employment",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "abcdefg",
            "address_1": "25 4th Ave",
            "city": "Scottdale",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156832110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.matrixhealthcarenetwork.com",
            "affiliation": "N",
            "endpointDescription": "employer",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "employment",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "abcdefg",
            "address_1": "25 4th Ave",
            "city": "Scottdale",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156832110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Scottdale, PA
• Providers in Scottdale, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.