Active NPI
Patricia Kay Fray, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Bellevue, WA
National Provider Identifier
1881835163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP60071357
- Practice address
- 1200 112TH Ave NE
Bellevue, WA 98004-3732 - Phone
- (425) 453-1039
- Fax
- (425) 453-8955
- NPI assigned
- Mar 16, 2009
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | AP60071357 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60071357 | WA | Primary |
Addresses
Primary practice location
1200 112TH Ave NE
Bellevue, WA 98004-3732
Mailing address
PO Box 5127
Everett, WA 98206-5127
Phone (425) 453-1039
Other practice location 1
202 N Division St
Auburn, WA 98001-4939
Phone (253) 545-2766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881835163 | Medicaid | WA |
Other names 1
- Patty Payne
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580860800000",
"number": "1881835163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5127",
"city": "EVERETT",
"state": "WA",
"postal_code": "982065127",
"telephone_number": "425-453-1039",
"fax_number": "425-453-8955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 112TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043732",
"telephone_number": "425-453-1039",
"fax_number": "425-453-8955"
}
],
"practiceLocations": [
{
"address_1": "202 N Division St",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "WA",
"postal_code": "980014939",
"country_code": "US",
"telephone_number": "253-545-2766",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRAY",
"first_name": "PATRICIA",
"middle_name": "KAY",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-16",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "WA",
"license": "AP60071357",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP60071357",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881835163",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATTY",
"last_name": "PAYNE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.