Nicole B Ray, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-02563 Issued in NC

Practice address

2579 Chimney Rock Rd
Hendersonville, NC 28792

Phone

(828) 692-4289

NPI assigned

Oct 8, 2010

Last updated

Apr 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Nicole L Blackwell Former name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicole.ray.1@21884.direct.athenahealth.com

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.

• Blue Ridge Community Health Services, Inc

  dba Haywood Health Center

  • Federally Qualified Health Center (FQHC)
  • Clyde, NC
  • NPI 1407200264
  Medicare reassignment NPD
• Blue Ridge Community Health Services, Inc.

  dba Polk Health Center

  • Federally Qualified Health Center (FQHC)
  • Columbus, NC
  • NPI 1750757803
  Medicare reassignment NPD
• Blue Ridge Community Health Services, Inc.

  dba Blue Ridge Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Hendersonville, NC
  • NPI 1225029051
  Medicare reassignment NPD (past)
• Blue Ridge Community Health Services Inc

  dba Brevard Health Center

  • Federally Qualified Health Center (FQHC)
  • Brevard, NC
  • NPI 1750144119
  NPD
• Blue Ridge Community Health Services Inc

  dba Blue Ridge Health-Arden

  • Federally Qualified Health Center (FQHC)
  • Arden, NC
  • NPI 1912324740
  NPD
• Blue Ridge Community Health Services, Inc.

  dba Rutherford Health Center

  • Federally Qualified Health Center (FQHC)
  • Spindale, NC
  • NPI 1669803276
  NPD
• Blue Ridge Community Health Services Inc

  dba Blue Ridge Health-Highlands Cashiers

  • Federally Qualified Health Center (FQHC)
  • Highlands, NC
  • NPI 1437725041
  NPD (past)
• Blue Ridge Community Health Services Inc.

  dba Rainbow Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Hendersonville, NC
  • NPI 1326587932
  NPD (past)
• Blue Ridge Community Health Services, Inc

  dba Brevard Health Center

  • Federally Qualified Health Center (FQHC)
  • Brevard, NC
  • NPI 1578827507
  NPD (past)
• Blue Ridge Community Health Services, Inc

  dba 7th Avenue Health Center

  • Federally Qualified Health Center (FQHC)
  • Hendersonville, NC
  • NPI 1801261391
  NPD (past)
• Blue Ridge Community Health Services, Inc

  dba Sylva Health Center

  • Federally Qualified Health Center (FQHC)
  • Sylva, NC
  • NPI 1881130540
  NPD (past)
• Blue Ridge Community Health Services, Inc.

  dba Blue Ridge Health-Swain

  • Federally Qualified Health Center (FQHC)
  • Bryson City, NC
  • NPI 1124668868
  NPD (past)

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1669782603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2579 CHIMNEY ROCK RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287929181",
            "telephone_number": "828-692-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2579 CHIMNEY ROCK RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "28792",
            "telephone_number": "828-692-4289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7968 19E Hwy",
            "address_purpose": "LOCATION",
            "city": "Spruce Pine",
            "state": "NC",
            "postal_code": "287776011",
            "country_code": "US",
            "telephone_number": "828-765-5674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "NICOLE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-08",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BLACKWELL",
            "middle_name": "L",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Ramsey
• Natalia Ranft
• Edward Byron Ransdell Jr., PA-C
• Jonathan M Rappaport, MD
• Andrea Rathbone, D.C.
• Tommy Lamar Ray, PA-C
• Reality Residential Hendersonville
• Jodi M Rector, MSN, APRN, FNP-C
• Sushma Reddy, MD
• Redeemed FCH of Hendersonville LLC

• Physician Assistant in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.