RICHARD BROWN RAY JR. (NPI# 1306147947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306147947 |
Entity Type | Individual |
Full Name | RICHARD BROWN RAY JR. |
Credential | PMHNP-BC |
Practice Address |
3413 Washington Ave Gulfport MS 39507-3039 |
Practice Telephone | 2282067780 |
Practice Fax Number | 2282067803 |
Mailing Telephone | 2282067803 |
Mailing Fax Number | 2282067803 |
Enumeration Date | 2010-11-13 |
Last Update Date | 2019-05-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R865840 | MS | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790250827 | Richard James Ray | Physical Therapy Assistant | 530 Thornton Rd # 210, Lithia Springs, GA 30122-4120 | 2018-10-04 |
1982775995 | Richard Ray | Neuromusculoskeletal Medicine, Sports Medicine | 60 South Pleasant Street, Suite B, Oberlin, OH 44074-1633 | 2006-11-13 |
1639106446 | Richard A. Ray | Dentist | 22387 Ecorse Rd, Taylor, MI 48180-1860 | 2006-06-27 |
1154310522 | Richard V Ray | Physician Assistant | Whasc, 2200 Bergquist Dr, Lackland Afb, TX 78236 | 2005-10-19 |
1417940479 | Richard Sims Ray | Chiropractor | 62 N Stapley Dr, Mesa, AZ 85203-8845 | 2005-08-25 |
1831741511 | Richard F Ray Jr. | Counselor | 67 Eustis Pkwy, Waterville, ME 04901-5173 | 2019-07-12 |
1598029555 | Richard Dean Ray | Massage Therapist | 12830 Sw 1st Ln, Suite 100, Newberry, FL 32669-3260 | 2012-06-25 |
1083792816 | Richard A. Ray | Pathology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
1629168117 | Richard Mark Ray | Otolaryngology | 2100 W Clinch Ave, Ste 410, Knoxville, TN 37916-2219 | 2006-10-13 |
1831190065 | Richard Louis Ray | Psychiatry & Neurology | 1307 Federal St, 2nd Fl Allegheny Orthopaedic Assocs, Pittsburgh, PA 15212-4705 | 2005-08-10 |
Street Address |
3413 WASHINGTON AVE |
City | GULFPORT |
State | MS |
Zip Code | 39507-3039 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992253082 | Richard Lee Walden | Registered Nurse | 3413 Washington Ave, Ste. A, Gulfport, MS 39507-3039 | 2016-09-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609389105 | Karen R Burns | Speech-Language Pathologist | 3506 Washington Avenue, Ste E, Gulfport, MS 39507 | 2017-11-07 |
1538605027 | Andrea Broussard | Personal Emergency Response Attendant | 406 Pass Rd, Gulfport, MS 39507 | 2017-01-09 |
1366872491 | William Alexis Marcia | Pharmacist | 1444 East Pass Road, Gulfport, MS 39507 | 2013-11-27 |
1740599380 | Advanced Hearing Systems, Inc. | Hearing Instrument Specialist | 401 Security Square, Gulfport, MS 39507 | 2010-09-30 |
1497068118 | Stacey Ritter Carter | Dentist | 1635 East Pass Road, Gulfport, MS 39507 | 2010-07-22 |
1477789964 | Letonoff Orthopaedics & Sports | Orthopaedic Surgery | 452 Court House Road, Suite G, Gulfport, MS 39507 | 2009-06-10 |
1730385139 | Bernard Frederick Podlin | Dentist | 400 Pass Road, Gulfport, MS 39507 | 2007-06-22 |
1043422553 | Mark D Stringer | Dentist | 520-a Courthouse Road, Gulfport, MS 39507 | 2007-05-04 |
1154543528 | Pass Road Elementary | Registered Nurse | 37 Pass Road, Gulfport, MS 39507 | 2007-05-03 |
1417073768 | John Hough Hopkins | Dentist | 3303 A Ave, Gulfport, MS 39507 | 2007-03-21 |
Find all providers in zip 39507 |
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 |
---|---|---|---|---|
1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
1386193183 | Joannie Evans | Nurse Practitioner | 368 Courthouse Rd, Suite D, Gulfport, MS 39507-1856 | 2016-09-22 |
1639220205 | Maureen Stanton | Nurse Practitioner | 33 39th Street, Gulfport, MS 39507 | 2007-01-12 |
1679581052 | Eileen A Powell | Nurse Practitioner | 15120 County Barn Rd, Gulf Coast Mental Health Center Csu Unit, Gulfport, MS 39503-1263 | 2006-08-03 |
1437784550 | Chantal Sullivan Aprn-bc Pllc | Nurse Practitioner | 8990 Lorraine Rd, Gulfport, MS 39503-4176 | 2020-03-09 |
1740811280 | Chantal Sullivan | Nurse Practitioner | 8990 Lorraine Rd, Gulfport, MS 39503-4176 | 2020-02-03 |
1336780527 | Mary Elizabeth Paul | Nurse Practitioner | 11150 Highway 49, Gulfport, MS 39503-4110 | 2019-09-30 |
1457829202 | Art Behavioral Health, Pllc | Nurse Practitioner | 1403 43rd Ave, Gulfport, MS 39501-2545 | 2018-11-09 |
1992270995 | Julie K Martin, Pmhnp-bc, LLC | Nurse Practitioner | 1403 43rd Ave, Gulfport, MS 39501-2545 | 2018-10-05 |
1033602834 | Jena Leanna Pierce | Nurse Practitioner | 1613 23rd Ave, Gulfport, MS 39501 | 2018-06-07 |
Find all providers in GULFPORT |
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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.