Individual provider Active NPI

Jennifer M Ray, DC

  • Chiropractor
  • Lakewood, WA
National Provider Identifier
1881765022
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003663 Issued in WA
Practice address
6302 93Rd St SW
Lakewood, WA 98499-2408
Phone
(253) 983-9363
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00003663 WA Primary

Addresses

Primary practice location

6302 93Rd St SW
Lakewood, WA 98499-2408

Mailing address

6302 93Rd St SW
Lakewood, WA 98499-2408
Phone (253) 983-9363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040616000315 WA Practitioner - Chiropractic 1557251063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6302 93Rd St SW
Lakewood, WA 98499-2408
Phone (253) 983-9363

Hospital & facility affiliations

  • Harborview Medical Center Hospital, Seattle, WA, CCN 500064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3663WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Ray, DC, PLLC Chiropractor CurrentSince Apr 30, 2003 Accepting new patients
Creekside Chiropractic and Massage, PS Chiropractor PastSince Jan 23, 2011 Accepting new patients

Locations

6302 93rd St SW
Lakewood, WA 98499
Phone (253) 640-3146

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233878400000",
    "number": "1881765022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6302 93RD ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992408",
            "telephone_number": "253-983-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6302 93RD ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992408",
            "telephone_number": "253-983-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2009-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.