Kaitlyn Ray, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0009730 Issued in MD

Practice address

2405 York Rd Ste 103
Timonium, MD 21093-2256

Phone

(443) 841-7668

NPI assigned

Nov 27, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Padonia Pediatrics & Medicine, LLC

  • Pediatrics Physician
  • Timonium, MD
  • NPI 1285065904
  NPD (past)

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1689490286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 WHITE STAR XING",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211227214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 YORK RD STE 103",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932256",
            "telephone_number": "443-841-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "KAITLYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0009730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Raftopoulos
• Amit Rahman
• Rossina Lolita Ramirez, MPT
• Randall Scott Leonard
• Linda Ravindranath, CRNP
• Nikita Razeghi, AU.D.
• Redefining Moments, LLC
• Harolyn Christine Reed, RN
• Deborah Reid
• Renew Your Mind Therapeutic Mentoring Services, LLC

• Physician Assistant in Timonium, MD
• Providers in Timonium, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.