Jacob Ray

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1-145994 Issued in AL

Practice address

833 Princeton Ave SW Ste 200a
Birmingham, AL 35211-1321

Phone

(205) 786-2776

Fax

(205) 786-6227

NPI assigned

Oct 11, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: jmray@direct.uabmedicine.org

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1467927848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 PRINCETON AVE SW STE 200A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111321",
            "telephone_number": "205-786-2776",
            "fax_number": "205-786-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 PRINCETON AVE SW STE 200A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111321",
            "telephone_number": "205-786-2776",
            "fax_number": "205-786-6227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 6th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331932",
            "country_code": "US",
            "telephone_number": "205-975-6497",
            "fax_number": "205-975-6091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-11",
        "last_updated": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-145994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmray@direct.uabmedicine.org",
            "affiliation": "Y",
            "affiliationName": "University of Alabama Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1802 6th Ave S",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352331932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brianna Marie Ray, FNP-C
• David Ray, DMD
• Fletcher Ray
• Grace Ann Ray
• Heather Hines Ray, D.P.T.
• Jennafer Adair Ray, CRNP
• Kimberly Kahler Ray, RPH
• Monica Ray, CRNP
• Rachel K. Ray, CRNA
• Starlit Ray, RBT

• Gerontology Nurse Practitioner in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Gerontology Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.