SHANTEL DOMINIQUE RAY (NPI# 1215361035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215361035 |
| Entity Type | Individual |
| Full Name | SHANTEL DOMINIQUE RAY |
| Credential | LPN |
| Practice Address |
717 E 11th St Chattanooga TN 37403-3104 |
| Mailing Address |
1519 Old Ringgold Rd Apt 311 Chattanooga TN 37404-5411 |
| Practice Telephone | 4232655708 |
| Mailing Telephone | 4233140423 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 78745 | TN | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | STATE NURSING LICENSE NUMBER | 78745 | 01 |
| Street Address |
717 E 11TH ST |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37403-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588794382 | Robert E Huston | Psychologist | 717 E 11th St, Homeless Health Care Center, Chattanooga, TN 37403-3104 | 2007-03-07 |
| 1265748925 | Darlene Mcgraw | Licensed Practical Nurse | 717 E 11th St, Chattanooga, TN 37403-3104 | 2010-08-19 |
| 1235451600 | Byron Jan Hartley | Registered Nurse | 717 E 11th St, Chattanooga, TN 37403-3104 | 2010-02-25 |
| 1053643809 | Courtney B Head | Registered Nurse | 717 E 11th St, Chattanooga, TN 37403-3104 | 2010-02-04 |
| 1962607275 | Sharon Parks | Licensed Practical Nurse | 717 E 11th St, Chattanooga, TN 37403-3104 | 2007-06-18 |
| 1104027564 | Linda Ann Katzman | Social Worker | 717 E 11th St, Chattanooga, TN 37403-3104 | 2007-05-31 |
| 1376763367 | Martha F Watson | Licensed Practical Nurse | 717 E 11th St, Chattanooga, TN 37403-3104 | 2007-05-01 |
| 1750505491 | Catherine Varner Keegan | Registered Nurse | 717 E 11th St, Chattanooga, TN 37403-3104 | 2007-04-12 |
| 1669592580 | Dayra Isela Caballero Olson | Registered Nurse | 717 E 11th St, Chattanooga, TN 37403-3104 | 2007-04-02 |
| 1821118043 | Bill Sweenie | Counselor | 717 E 11th St, Chattanooga, TN 37403-3104 | 2007-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033771332 | Jaimie Mills | Specialist/Technologist | 103 Metropolitan Building, Chattanooga, TN 37403 | 2019-07-08 |
| 1972092849 | Joshua Dale Gebhardt | Marriage & Family Therapist | 1024 East M L King Blvd, Chattanooga, TN 37403 | 2018-05-07 |
| 1528580750 | Klifford Hawkins | Physical Therapist | 1100 E 3rd St Ste G103, Chattanooga, TN 37403 | 2017-07-10 |
| 1861921470 | Jonathan Everett Burden | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 104, Chattanooga, TN 37403 | 2017-06-07 |
| 1992167092 | Majel Victoria Purvis Miles | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste 401, Chattanooga, TN 37403 | 2016-03-28 |
| 1972942902 | Danielle Nessly | Nurse Practitioner | 730 East 11th Street, Chattanooga, TN 37403 | 2013-06-24 |
| 1023453271 | Nathan Claydon | Internal Medicine | 960 East 3rd St, Suite 104, Chattanooga, TN 37403 | 2013-05-01 |
| 1336482603 | Veronica Patterson Zachry | Student in an Organized Health Care Education/Training Program | 975 E. 3rd Street, Chattanooga, TN 37403 | 2013-04-04 |
| 1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
| 1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
| Find all providers in zip 37403 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962763292 | Zulma I Gonzalez | Licensed Practical Nurse | 8212 Fallen Maple Dr, Chattanooga, TN 37421-1244 | 2012-06-04 |
| 1386957835 | Kendra D Bryant | Licensed Practical Nurse | 921 E. 3rd St., Chattanooga Hamilton County Health Department, Chattanooga, TN 37403 | 2010-07-26 |
| 1174141394 | Carleisha Chekezia Jones | Licensed Practical Nurse | 5600 Brainerd Rd, Chattanooga, TN 37411-5310 | 2020-07-14 |
| 1962023291 | Pepper Nicole Cannon | Licensed Practical Nurse | 1301 Riverfront Pkwy, Chattanooga, TN 37402-2233 | 2020-04-28 |
| 1841836335 | Rebecca Smith | Licensed Practical Nurse | 2347 Rossville Blvd, Chattanooga, TN 37408-2250 | 2019-11-20 |
| 1215573878 | Anna Lorene Oakes | Licensed Practical Nurse | 1301 Riverfront Pkwy, Chattanooga, TN 37402-2233 | 2019-11-19 |
| 1356809354 | Letasha Walker | Licensed Practical Nurse | 5600 Brainerd Rd Ste A4, Chattanooga, TN 37411-5336 | 2019-03-08 |
| 1275097263 | Sherry Janel Bradley | Licensed Practical Nurse | 2347 Rossville Blvd, Chattanooga, TN 37408-2250 | 2019-01-24 |
| 1447714431 | Kimberly Lee Gillum | Licensed Practical Nurse | 2347 Rossville Blvd, Chattanooga, TN 37408-2250 | 2019-01-24 |
| 1902360050 | David Edwards | Licensed Practical Nurse | 2347 Rossville Blvd, Chattanooga, TN 37408-2250 | 2019-01-23 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37403 |
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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.