Active NPI
Marlene Fray
- Primary Care Nurse Practitioner
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 9391
- Practice address
- 4055 Valley View LN
Dallas, TX 75244-5074 - Phone
- (877) 868-5351
- NPI assigned
- Dec 11, 2020
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 9391 | CT | Primary |
Addresses
Primary practice location
4055 Valley View LN
Dallas, TX 75244-5074
Mailing address
PO Box 121
East Hampton, CT 06424-0121
Phone (860) 604-2483
Other practice location 1
1229 Albany Ave
Hartford, CT 06112-2132
Phone (860) 524-9820
Other practice location 2
30 Lafayette Sq Ste 109
Vernon Rockville, CT 06066-4554
Phone (800) 391-0599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
94 Connecticut Blvd
East Hartford, CT 06108-3013
Phone (860) 528-1359
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9391 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Health Centers, Inc. | Current | Accepting new patients | |
| First Choice Health Centers, Inc. | Current | Accepting new patients | |
| First Choice Health Centers, Inc. | Current | Accepting new patients |
Locations
94 Connecticut Blvd
Hartford, CT 06108
Phone (860) 610-6191
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- East Hartford, CT
- NPI 1215923131
-
- Primary Care Nurse Practitioner
- Vernon, CT
- NPI 1720826381
-
- Federally Qualified Health Center (FQHC)
- East Hartford, CT
- NPI 1215518733
-
- Federally Qualified Health Center (FQHC)
- Vernon, CT
- NPI 1558804070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1497351688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 121",
"city": "EAST HAMPTON",
"state": "CT",
"postal_code": "064240121",
"telephone_number": "860-604-2483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4055 VALLEY VIEW LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752445074",
"telephone_number": "877-868-5351"
}
],
"practiceLocations": [
{
"address_1": "1229 Albany Ave",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061122132",
"country_code": "US",
"telephone_number": "860-524-9820",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "30 Lafayette Sq Ste 109",
"address_purpose": "LOCATION",
"city": "Vernon Rockville",
"state": "CT",
"postal_code": "060664554",
"country_code": "US",
"telephone_number": "800-391-0599",
"fax_number": "980-825-7196",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRAY",
"first_name": "MARLENE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-11",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CT",
"license": "9391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.