Individual provider Active NPI

Mary Jo Wright Ray, RN

  • Registered Nurse
  • Lexington, KY
National Provider Identifier
1972175156
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1103332 Issued in KY
Practice address
2710 Man O'War Boulevard
Lexington, KY 40324
Phone
(859) 273-0088
Fax
(859) 273-0089
NPI assigned
Jul 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1103332 KY Primary

Addresses

Primary practice location

2710 Man O'War Boulevard
Lexington, KY 40324

Mailing address

2710 Man O'War Boulevard
Lexington, KY 40324
Phone (859) 273-0088

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1103332KYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1972175156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 MAN O'WAR BOULEVARD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40324",
            "telephone_number": "859-273-0088",
            "fax_number": "859-273-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 MAN O'WAR BOULEVARD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40324",
            "telephone_number": "859-273-0088",
            "fax_number": "859-273-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT RAY",
        "first_name": "MARY",
        "middle_name": "JO",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1103332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.