Active NPI
Deborah Ray
- Family Nurse Practitioner
- Bastrop, LA
National Provider Identifier
1528411923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP08679
- Practice address
- 1707 Arcadia Dr
Bastrop, LA 71220 - Phone
- (318) 282-7262
- NPI assigned
- Jul 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Family Nurse Practitioner | 363LF0000X | AP08679 | LA | Primary |
Addresses
Primary practice location
1707 Arcadia Dr
Bastrop, LA 71220
Mailing address
1707 Arcadia Dr
Bastrop, LA 71220-2303
Phone (318) 282-7262
Other practice location 1
2803 Evangeline St
Monroe, LA 71201-3749
Phone (318) 325-0325
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP08679 | LA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528070400000",
"number": "1528411923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 ARCADIA DR",
"city": "BASTROP",
"state": "LA",
"postal_code": "712202303",
"telephone_number": "318-282-7262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 ARCADIA DR",
"city": "BASTROP",
"state": "LA",
"postal_code": "71220",
"telephone_number": "318-282-7262"
}
],
"practiceLocations": [
{
"address_1": "2803 Evangeline St",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "LA",
"postal_code": "712013749",
"country_code": "US",
"telephone_number": "318-325-0325",
"fax_number": "318-325-0316",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAY",
"first_name": "DEBORAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-20",
"last_updated": "2018-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP08679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bastrop, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.