Individual provider Active NPI

Maria Diane Ray, RD

  • Registered Dietitian
  • Arkansas City, KS
National Provider Identifier
1376637900
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
411 Issued in KS
Practice address
216 West Birch
Arkansas City, KS 67005-1107
Phone
(620) 441-5722
Fax
(620) 441-5953
NPI assigned
Oct 3, 2006
Last updated
Mar 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 411 KS Primary

Addresses

Primary practice location

216 West Birch
Arkansas City, KS 67005-1107

Mailing address

12204 West Home Road
Braman, OK 74632
Phone (580) 385-2377

Other identifiers 2

IdentifierTypeStateIssuer
130477OtherKSBCBS
130477MedicaidKS

Other names 1

  • Diane M Ray Other name

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

State licenses

LicenseStateTypeSpecialty
513OKMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1376637900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12204 WEST HOME ROAD",
            "city": "BRAMAN",
            "state": "OK",
            "postal_code": "74632",
            "telephone_number": "580-385-2377",
            "fax_number": "620-441-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 WEST BIRCH",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670051107",
            "telephone_number": "620-441-5722",
            "fax_number": "620-441-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "MARIA",
        "middle_name": "DIANE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "130477",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130477",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "RAY",
            "middle_name": "M",
            "credential": "R.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arkansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.