Active NPI
Holly R Ray, RN,ANP
- Adult Health Nurse Practitioner
- Overland Park, KS
National Provider Identifier
1821394909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 75345
- Practice address
- 6860 W 115TH St
Overland Park, KS 66211-2457 - Phone
- (913) 217-3521
- NPI assigned
- Feb 7, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 75345 | KS | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 2011005427 | MO |
Addresses
Primary practice location
6860 W 115TH St
Overland Park, KS 66211-2457
Mailing address
2700 Swift Ave
Apt 102
Kansas City, MO 64116-3184
Phone (816) 288-9223
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
- Credentials
- Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consultants in Gastroenterology, PC | Past | Accepting new patients | |
| Excel Anesthesia, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Certified Registered Nurse Anesthetist
- Leawood, KS
- NPI 1366559130
-
- Specialist
- Independence, MO
- NPI 1932189768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485302400000",
"number": "1821394909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 SWIFT AVE",
"address_2": "APT 102",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641163184",
"telephone_number": "816-288-9223",
"fax_number": "866-616-0686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6860 W 115TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662112457",
"telephone_number": "913-217-3521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "HOLLY",
"middle_name": "R",
"credential": "RN,ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-07",
"last_updated": "2017-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "KS",
"license": "75345",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MO",
"license": "2011005427",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.