Active NPI
Kelli Leann Wray, AGNP
- Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1881017044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN001675
- Practice address
- 8545 W Warm Springs Rd
Suite a-4 #173
Las Vegas, NV 89113-3625 - Phone
- (702) 803-5534
- Fax
- (888) 977-1206
- NPI assigned
- Jan 23, 2014
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN001675 | NV | Primary |
Addresses
Primary practice location
8545 W Warm Springs Rd
Suite a-4 #173
Las Vegas, NV 89113-3625
Mailing address
8545 W Warm Springs Rd
Suite a-4 #173
Las Vegas, NV 89113-3625
Phone (702) 803-5534
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN001675 | NV | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484179200000",
"number": "1881017044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8545 W WARM SPRINGS RD",
"address_2": "SUITE A-4 #173",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891133625",
"telephone_number": "702-803-5534",
"fax_number": "888-977-1206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8545 W WARM SPRINGS RD",
"address_2": "SUITE A-4 #173",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891133625",
"telephone_number": "702-803-5534",
"fax_number": "888-977-1206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRAY",
"first_name": "KELLI",
"middle_name": "LEANN",
"credential": "AGNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-23",
"last_updated": "2017-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "APRN001675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.