KELLY MATTHEW RAY (NPI# 1417345836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417345836 |
| Entity Type | Individual |
| Full Name | KELLY MATTHEW RAY |
| Credential | CRNA |
| Practice Address |
971 Lakeland Dr Suite 202 Jackson MS 39216-4643 |
| Practice Telephone | 6013621990 |
| Mailing Telephone | 6013621990 |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R885450 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437159639 | Kelly Paulk Ray | Psychologist | 7913 Wrenwood Blvd Ste A, Baton Rouge, LA 70809 | 2005-07-29 |
| 1154961274 | Kelly Yvonne Ray | Behavioral Analyst | 44225 W 12 Mile Rd Ste C-106, Novi, MI 48377-2640 | 2020-01-07 |
| 1497239750 | Kelly M Ray | Social Worker | 1532 Lone Oak Rd Ste 345, Paducah, KY 42003-7942 | 2018-09-21 |
| 1801332663 | Kelly Ray | Counselor | 351 W 79th St, Shreveport, LA 71106-4819 | 2017-01-17 |
| 1053678391 | Kelly L Ray | Counselor | 907 N Main St, Suite 202, Anderson, SC 29621-5526 | 2012-04-11 |
| 1790054682 | Kelly Ann Ray | Registered Nurse | 7476 Back Creek Rd, Hamburg, NY 14075-7202 | 2011-12-21 |
| 1609182310 | Kelly Lee Ray | Physician Assistant | 10131 Coors Blvd Nw, Albuquerque, NM 87114-4045 | 2010-08-19 |
| 1194918516 | Kelly Merit Ray | Physical Therapist | 3700 W 15th St, Plano, TX 75075-4736 | 2007-08-20 |
| 1437168051 | Kelly Schilder Ray | Psychologist | 600 Davis St, Suite 3e, Evanston, IL 60201-4488 | 2006-08-05 |
| Street Address |
971 LAKELAND DR SUITE 202 |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661789 | Maurice James | Ophthalmology | 971 Lakeland Dr, Ste 563, Jackson, MS 39216-4607 | 2005-07-01 |
| 1891226643 | Matthew Milling | Nurse Anesthetist, Certified Registered | 971 Lakeland Dr, Suite 202, Jackson, MS 39216-4643 | 2017-03-23 |
| 1134667843 | Bonney Neill Simmons | Nurse Practitioner | 971 Lakeland Dr, Jackson, MS 39216-4643 | 2017-02-02 |
| 1437694320 | Kristen Degelman | Nurse Practitioner | 971 Lakeland Dr, Suite 401, Jackson, MS 39216-4643 | 2016-12-30 |
| 1134671787 | Jackson Thyroid & Endocrine Clinic Pllc | Internal Medicine | 971 Lakeland Dr, Suite 353, Jackson, MS 39216-4643 | 2016-10-31 |
| 1609223205 | Sally Sullivan | Nurse Anesthetist, Certified Registered | 971 Lakeland Dr, Jackson, MS 39216-4643 | 2016-05-24 |
| 1932576998 | Misty Gaines | Nurse Practitioner | 971 Lakeland Dr, Suite 657, Jackson, MS 39216-4643 | 2015-08-26 |
| 1659755676 | Angela B. Mccallum | Nurse Practitioner | 971 Lakeland Dr, Jackson, MS 39216-4643 | 2015-07-20 |
| 1356732481 | St Dominic Medical Associates LLC | Internal Medicine | 971 Lakeland Dr, Suite, Jackson, MS 39216-4643 | 2015-02-11 |
| 1689063067 | St Dominic Medical Associates LLC | Urology | 971 Lakeland Dr, Suite 360, Jackson, MS 39216-4643 | 2015-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295232304 | Trumania Inc | Nurse Anesthetist, Certified Registered | 223 Clinton Rd Ste 204, Jackson, CA 95642-2680 | 2018-04-06 |
| 1902287501 | Timothy Parrish | Nurse Anesthetist, Certified Registered | 27 Red Deer Cv, Jackson, TN 38305-6485 | 2015-06-09 |
| 1821345398 | Denicia Maria Rankin | Nurse Anesthetist, Certified Registered | 88 Boyd Dr, Jackson, TN 38305-2152 | 2012-08-14 |
| 1437425717 | Sheela Federici | Nurse Anesthetist, Certified Registered | 545 Rutledge St, Jackson, MI 49203-1113 | 2012-03-30 |
| 1164611240 | Yvette George | Nurse Anesthetist, Certified Registered | 105 F Stonebrook Pl, Jackson, TN 38305 | 2007-10-15 |
| 1194843110 | Patricia Lynn Koprivica | Nurse Anesthetist, Certified Registered | 5919 Amber, Jackson, MI 49201-8389 | 2007-03-27 |
| 1215055454 | Eunai Danek | Nurse Anesthetist, Certified Registered | 2571 Cascade Creek Dr, Jackson, MI 49203-3771 | 2007-03-26 |
| 1508950064 | Mark Combs | Nurse Anesthetist, Certified Registered | 205 North East Ave, Anesthesia Department, Jackson, MI 49201 | 2006-10-02 |
| 1972696516 | Lisa Thompson Jackson | Nurse Anesthetist, Certified Registered | 1500 E. Woodrow Wilson, Jackson, MS 39216 | 2006-10-02 |
| 1932292596 | James Gerard Brown | Nurse Anesthetist, Certified Registered | Foote Hosp., 205 North East Avenue, Jackson, MI 49201-1753 | 2006-10-02 |
| Find all providers in JACKSON | ||||
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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.