Mary Jean Cabanalan Paray, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

R178320-3 Issued in MN

Practice address

640 Jackson St
Saint Paul, MN 55101-2595

Phone

(651) 254-5008

NPI assigned

Oct 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1669134953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6251 HEARTHSTONE AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550166013",
            "telephone_number": "651-343-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012595",
            "telephone_number": "651-254-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARAY",
        "first_name": "MARY JEAN",
        "middle_name": "CABANALAN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MN",
            "license": "R178320-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Erica Pantekoek, M.A. CCC-SLP
• Emma Panzer, CPO
• Anastasios Angelo Pappas, M.D.
• Holly Louise Paradis, M.A.
• Paragon Medical Inc.
• Adam David Pardo
• William M Parenteau, CRNA
• Shilpa S. Parikh, D.C
• Eva Marie McGuire Parise, PA
• Deborah Ann Pariso, CNS

• Medical-Surgical Registered Nurse in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Medical-Surgical Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.