Crista Dawn Ray, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L0057040 Issued in OK

Practice address

23 E Ross Ave
Sapulpa, OK 74066-6423

Phone

(918) 227-2016

NPI assigned

Dec 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Crista Matlock Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1881402006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23470 NS 416 RD",
            "city": "NOWATA",
            "state": "OK",
            "postal_code": "740484933",
            "telephone_number": "918-273-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 E ROSS AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740666423",
            "telephone_number": "918-227-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "CRISTA",
        "middle_name": "DAWN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "L0057040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTA",
            "last_name": "MATLOCK",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hayden Rake
• Terroll Ramsey, M.D.
• Kandis Ranahan
• Ranch Terrace Nursing Home, Inc.
• Chelsea Leigh Rank
• Marqui Ray, FNP-BC
• Nicole Rochelle Redd, D.A.
• Amy Redus
• Sheila Kay Reed, APRN-FNP
• April Heather Reeder, M.A. AND M.DIV

• Licensed Practical Nurse in Sapulpa, OK
• Providers in Sapulpa, OK by specialty
• Licensed Practical Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.