Lakou Tyra Tray, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

2504716 Issued in MN

Practice address

3570 Lexington Ave N Ste 204
Shoreview, MN 55126-8049

Phone

(612) 886-6701

Fax

(612) 439-5374

NPI assigned

Jan 15, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Saas Home Health LLC

  • Nursing Care Agency
  • Shoreview, MN
  • NPI 1447063037
  NPD

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

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1912865064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 LEXINGTON AVE N STE 204",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268049",
            "telephone_number": "612-886-6701",
            "fax_number": "612-439-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 LEXINGTON AVE N STE 204",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268049",
            "telephone_number": "612-886-6701",
            "fax_number": "612-439-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAY",
        "first_name": "LAKOU",
        "middle_name": "TYRA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "2504716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Thornquist
• Thrivebridge Wellness LLC
• Ashley Tobias, MS, LGSW
• Maria E Tonn, OT
• Megan Traxler, PHARMD
• Treehouse Psychology, PLLC
• Garrett R Trobec, MD
• Twin City Christian Homes Services Company
• Twinsvision Home Care LLC
• Bradley Michael Uher, PHARM.D.

• Home Health Registered Nurse in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Home Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.