Active NPI
Trenda Dayle Ray, APN
- Pediatric Nurse Practitioner
- Little Rock, AR
National Provider Identifier
1962607291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- A01477
- Practice address
- 800 Marshall St
Slot 667
Little Rock, AR 72202-3510 - Phone
- (501) 364-4506
- Fax
- (501) 364-6710
- NPI assigned
- Jun 18, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | A01477 | AR | Primary |
Addresses
Primary practice location
800 Marshall St
Slot 667
Little Rock, AR 72202-3510
Mailing address
2 Epernay Circle
Little Rock, AR 72223
Phone (501) 868-4706
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01477 | AR | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthfirst Physicians of Arkansas PA | Past | Accepting new patients | |
| Healthfirst Physicians of Arkansas, P. a. | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Hot Springs, AR
- NPI 1861425415
-
- Specialist
- Hot Springs, AR
- NPI 1548200330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256169600000",
"number": "1962607291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 EPERNAY CIRCLE",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72223",
"telephone_number": "501-868-4706",
"fax_number": "501-364-5869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MARSHALL ST",
"address_2": "SLOT 667",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722023510",
"telephone_number": "501-364-4506",
"fax_number": "501-364-6710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "TRENDA",
"middle_name": "DAYLE",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2009-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AR",
"license": "A01477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.