Active NPI
Kristal Ray
- Health & Wellness Coach
- Tucker, GA
National Provider Identifier
1548010325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 4052 Lawrenceville Hwy
Tucker, GA 30084-4621 - Phone
- (770) 609-6068
- NPI assigned
- Mar 25, 2024
- Last updated
- Mar 25, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Primary |
Addresses
Primary practice location
4052 Lawrenceville Hwy
Tucker, GA 30084-4621
Mailing address
PO Box 398
Redan, GA 30074-0398
Phone (915) 202-1449
Other practice location 1
4052 Lawrenceville Hwy
Tucker, GA 30084-4621
Phone (770) 609-6068
Other names 1
- Kristal Williams
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Klassy Solutions LLC | Current | Accepting new patients |
Locations
4052 Lawrenceville Hwy
Tucker, GA 30084
Phone (305) 574-9084
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.
-
- Phlebotomy Technician
- Tucker, GA
- NPI 1235985730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1548010325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 398",
"city": "REDAN",
"state": "GA",
"postal_code": "300740398",
"telephone_number": "915-202-1449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4052 LAWRENCEVILLE HWY",
"city": "TUCKER",
"state": "GA",
"postal_code": "300844621",
"telephone_number": "770-609-6068"
}
],
"practiceLocations": [
{
"address_1": "4052 Lawrenceville Hwy",
"address_purpose": "LOCATION",
"city": "Tucker",
"state": "GA",
"postal_code": "300844621",
"country_code": "US",
"telephone_number": "770-609-6068",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAY",
"first_name": "KRISTAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-25",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTAL",
"last_name": "WILLIAMS",
"credential": "PBT CMA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.