ELIZABETH WRAY (NPI# 1043842065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043842065 |
Entity Type | Individual |
Full Name | ELIZABETH WRAY |
Credential | CRNP |
Practice Address |
1055 E Baltimore Pike Media PA 19063-5173 |
Mailing Address |
128 N Savanna Dr Pottstown PA 19465-6605 |
Practice Telephone | 6108923800 |
Enumeration Date | 2020-02-07 |
Last Update Date | 2020-02-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
SP020978 | PA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477962231 | Elizabeth Wray | Dietitian, Registered | 3311 E Murdock St, Wichita, KS 67208-3054 | 2014-08-06 |
Street Address |
1055 E BALTIMORE PIKE |
City | MEDIA |
State | PA |
Zip Code | 19063-5173 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851592885 | Julie Berg Dombor | Social Worker | 1055 E Baltimore Pike, Suite 303 Deleware County Professional Services, Media, PA 19063 | 2007-05-29 |
1356754469 | Brian Joseph Jordan | Social Worker | 1055 E Baltimore Pike, Suite 300, Media, PA 19063-5173 | 2014-06-05 |
1841531738 | Margaret Mary White | Social Worker | 1055 E Baltimore Pike, Media, PA 19063-5173 | 2013-03-03 |
1336477504 | Joanna Frederick | Social Worker | 1055 E Baltimore Pike, Suite 306, Media, PA 19063-5173 | 2009-11-30 |
1518294156 | Erin Costello Fahnoe | Social Worker | 1055 E Baltimore Pike, Suite 300, Media, PA 19063-5173 | 2009-11-03 |
1205160124 | Christopher Daniel Petrone | Counselor | 1055 E Baltimore Pike, Suite 300, Media, PA 19063-5173 | 2009-09-24 |
1952540221 | Beverly White | Psychologist | 1055 E Baltimore Pike, Suite 300, Media, PA 19063-5173 | 2009-02-11 |
1518136514 | Yun Jung Lee | Counselor | 1055 E Baltimore Pike, Media, PA 19063-5173 | 2008-02-22 |
1104004530 | William Steven Rybicki | Psychologist | 1055 E Baltimore Pike, Suite 303 Delaware County Professional Services, Media, PA 19063 | 2008-02-07 |
1487832531 | John J Howe | Psychologist | 1055 E Baltimore Pike, Suite 303 Delaware County Professional Services, Media, PA 19063 | 2008-01-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
Find all providers in zip 19063 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124660972 | Irene Franck | Nurse Practitioner | 1055 E Baltimore Pike Ste 300, Media, PA 19063-5173 | 2019-10-14 |
1972142669 | Fitz Martin | Nurse Practitioner | 1055 E Baltimore Pike Ste 303, Media, PA 19063-5173 | 2019-12-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477152544 | Jeanne Denise Howell | Nurse Practitioner | 6019 Saddlehorn Dr, Erie, PA 16506-4721 | 2020-10-20 |
1770199341 | Nicole Kassandra Carissimi | Nurse Practitioner | 1618 S 19th St, Philadelphia, PA 19145-1439 | 2020-09-19 |
1548875875 | Marisa Savic | Nurse Practitioner | 1 Medical Center Blvd Ste 407, Chester, PA 19013-3902 | 2020-09-14 |
1972117976 | Matthew Hunter | Nurse Practitioner | 728 Westerly Pkwy, State College, PA 16801-4226 | 2020-09-07 |
1801400817 | Monarch Psychiatric Services, P.C. | Nurse Practitioner | 103 N Gilpin St Ste 306, Punxsutawney, PA 15767-2055 | 2020-09-07 |
1154934412 | Ashley Scott Foster | Nurse Practitioner | 1701 Timberidge Dr, Bethel Park, PA 15102-4043 | 2020-08-26 |
1699385146 | Renee Lucci | Nurse Practitioner | 15 Douglas St, Ambler, PA 19002-4941 | 2020-08-08 |
1184233660 | Care Therapy | Nurse Practitioner | 610 Pittsburgh St, Scottdale, PA 15683-1651 | 2020-07-30 |
1184233926 | Jessica L Parente | Nurse Practitioner | 4067 Howley St, Pittsburgh, PA 15224-1439 | 2020-07-28 |
1770192775 | Lisa Ghiloni | Nurse Practitioner | 6809 N 10th St, Philadelphia, PA 19126-2906 | 2020-07-26 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.