Active NPI
Donna Lynn Ray, LMP
- Specialist
- Monroe, WA
National Provider Identifier
1467588285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00009704
- Practice address
- 17066 Beaton Rd SE
Suite 170
Monroe, WA 98272-1002 - Phone
- (360) 863-0960
- Fax
- (360) 863-8710
- NPI assigned
- Feb 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA00009704 | WA | Primary |
Addresses
Primary practice location
17066 Beaton Rd SE
Suite 170
Monroe, WA 98272-1002
Mailing address
17066 Beaton Rd SE
Suite 170
Monroe, WA 98272-1002
Phone (360) 863-0960
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00009704 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kneading Hands Massage Therapy, LLC | Specialist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467588285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17066 BEATON RD SE",
"address_2": "SUITE 170",
"city": "MONROE",
"state": "WA",
"postal_code": "982721002",
"telephone_number": "360-863-0960",
"fax_number": "360-863-8710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17066 BEATON RD SE",
"address_2": "SUITE 170",
"city": "MONROE",
"state": "WA",
"postal_code": "982721002",
"telephone_number": "360-863-0960",
"fax_number": "360-863-8710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "DONNA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00009704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.