Active NPI
Stacey R Ray, RD
- Registered Dietitian
- Cary, NC
National Provider Identifier
1760634422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1515 SW Cary Pkwy
Suite 200
Cary, NC 27511-6224 - Phone
- (919) 387-3200
- Fax
- (919) 387-3201
- NPI assigned
- Oct 14, 2008
- Last updated
- Oct 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1515 SW Cary Pkwy
Suite 200
Cary, NC 27511-6224
Mailing address
1515 SW Cary Pkwy
Suite 200
Cary, NC 27511-6224
Phone (919) 387-3200
Other names 1
- Stacey R Gideon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rex Hospital, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rex Nutrition Services
- Nutrition Education Nutritionist
- Raleigh, NC
- NPI 1821472572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223942400000",
"number": "1760634422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 SW CARY PKWY",
"address_2": "SUITE 200",
"city": "CARY",
"state": "NC",
"postal_code": "275116224",
"telephone_number": "919-387-3200",
"fax_number": "919-387-3201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 SW CARY PKWY",
"address_2": "SUITE 200",
"city": "CARY",
"state": "NC",
"postal_code": "275116224",
"telephone_number": "919-387-3200",
"fax_number": "919-387-3201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "STACEY",
"middle_name": "R",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-14",
"last_updated": "2008-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACEY",
"last_name": "GIDEON",
"middle_name": "R",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cary, NC
- Susan Wright Rawls, AU.D.
- Tyler Ray-Baker, LCSW, LCASA
- Jameliah Ray
- Kenneth Charles Ray, LCMHC, MAC, MAPC
- Roscoe Edward Ray Jr.
- Raymond Garrison DDS PA - Uda (Preston Corners)
- Raymond Garrison DDS PA - Uda (Waverly Place)
- Raymond J Tseng DDS PHD PA (High House Pediatric Dentistry)
- Raymond J Tseng, DDS, PHD, PA
- Raymond M Ferri, DDS, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.