Individual provider Active NPI

Debra Christine Ray

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1699144907
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128072 Issued in TX
Practice address
11255 Garland Rd Ste 1130
Dallas, TX 75218-2573
Phone
(972) 682-5757
Fax
(972) 682-6611
NPI assigned
Sep 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128072 TX Primary

Addresses

Primary practice location

11255 Garland Rd Ste 1130
Dallas, TX 75218-2573

Mailing address

11255 Garland Rd Ste 1130
Dallas, TX 75218-2573
Phone (972) 682-5757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20170519000609 TX Practitioner - Nurse Practitioner 5597032763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lake Arlington Family Medicine PAGroup PAC ID 6507019015, 5 clinicians

Practice addresses (Care Compare)

2309 W Green Oaks Blvd
Arlington, TX 76016-1222
Phone (817) 261-2862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP128072TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Arlington Family Medicine, P.a. CurrentSince Mar 29, 2017 Accepting new patients

Locations

2309 W Green Oaks Blvd
Arlington, TX 76016
Phone (817) 261-2862

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1699144907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11255 GARLAND RD STE 1130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182573",
            "telephone_number": "972-682-5757",
            "fax_number": "972-682-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11255 GARLAND RD STE 1130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182573",
            "telephone_number": "972-682-5757",
            "fax_number": "972-682-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "DEBRA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.