Individual provider Active NPI

Nancy Katherine Ray, APRN

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1730787193
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28124 Issued in TN
Practice address
4576 Poplar Ave
Memphis, TN 38117-7502
Phone
(901) 701-7010
NPI assigned
Oct 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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 28124 TN Primary

Addresses

Primary practice location

4576 Poplar Ave
Memphis, TN 38117-7502

Mailing address

2795 Burrows Farm CV
Germantown, TN 38138-8803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 30, 2023 through Aug 30, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35623TNMDHospitalist Physician
28124TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zup Medical Services, LLC PastSince Oct 19, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nancy.ray.1@19813.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19813/brand/1/csg/1/fhir/r4

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": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1730787193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 BURROWS FARM CV",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381388803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4576 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381177502",
            "telephone_number": "901-701-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "NANCY",
        "middle_name": "KATHERINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.