MS. EMILY J RAYES-PRINCE (NPI# 1487683454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487683454 |
| Entity Type | Individual |
| Full Name | MS. EMILY J RAYES-PRINCE |
| Other Name | EMILY JANE RAYES |
| Credential | M.D. |
| Practice Address |
2208 W Roosevelt Blvd Monroe NC 28110-2762 |
| Mailing Address |
9646 Hampton Oaks Ln Charlotte NC 28270-0492 |
| Practice Telephone | 7042899869 |
| Mailing Telephone | 7042414768 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2019-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | KY33653 | KY | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 33653 | KY | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
33653 | KY | Allopathic & Osteopathic Physicians |
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
2009-01802 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64336530 | 05 | |
| KY | DEA | BR4946262 | 01 |
| KY | BLUE CROSS | 000000357941 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3025 Clay Street, Paducah, KY 420014071 | 2704444032 | 2704444038 |
| Street Address |
2208 W ROOSEVELT BLVD |
| City | MONROE |
| State | NC |
| Zip Code | 28110-2762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528585023 | Tiara Price | Counselor | 2208 W Roosevelt Blvd, Monroe, NC 28110-2762 | 2017-08-25 |
| 1013442250 | Stacy New | Counselor | 2208 W Roosevelt Blvd, Monroe, NC 28110-2762 | 2017-04-25 |
| 1134664238 | Amy Lynn Grybush Martin | Counselor | 2208 W Roosevelt Blvd, Monroe, NC 28110-2762 | 2016-12-28 |
| 1083095509 | Kellee Gahan | Counselor | 2208 W Roosevelt Blvd, Monroe, NC 28110-2762 | 2015-06-10 |
| 1881091932 | Christie Simons | Counselor | 2208 W Roosevelt Blvd, Monroe, NC 28110-2762 | 2014-12-04 |
| 1275940025 | Jessica Tucker | Licensed Practical Nurse | 2208 W Roosevelt Blvd, Monroe, NC 28110-2762 | 2014-07-14 |
| 1689080178 | Bryan Graham | Counselor | 2208 W Roosevelt Blvd, Monroe, NC 28110-2762 | 2014-07-07 |
| 1407299860 | Gina Demaio | Licensed Practical Nurse | 2208 W Roosevelt Blvd, Monroe, NC 28110-2762 | 2013-04-16 |
| 1750620688 | Kristi Morgan | Licensed Practical Nurse | 2208 W Roosevelt Blvd, Monroe, NC 28110-2762 | 2013-02-13 |
| 1891034633 | Shanna Mary Daros | Licensed Practical Nurse | 2208 W Roosevelt Blvd, Monroe, NC 28110-2762 | 2013-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164987996 | Austin Drugs, Inc | Pharmacy | 3513 Suite B Highway 74 E, Monroe, NC 28110 | 2019-02-06 |
| 1366922353 | First Choice Supply, Inc | Clinic/Center | 2909 Waycross Dr, Monroe, NC 28110 | 2018-08-19 |
| 1235616491 | Joshua Gibbons | Physical Therapist | 1999 Wellness Blvd., Suite 220, Monroe, NC 28110 | 2018-07-20 |
| 1508356940 | Latoya I Sheppard | Prosthetist | 1643 Hilton Meadow Dr, Monroe, NC 28110 | 2018-05-11 |
| 1598266546 | Healthstat Onsite Clinic Conmet Monroe 1 | Preventive Medicine | 780 Patterson Avenue, Monroe, NC 28110 | 2018-02-26 |
| 1801397864 | Healthstat Onsite Con Met Monroe 2 | Preventive Medicine | 4515 Corporate Center Drive, Monroe, NC 28110 | 2018-02-26 |
| 1366969834 | Megan Thomas | Nurse Practitioner | 5708 Concord Hwy, Monroe, NC 28110 | 2017-08-25 |
| 1619385168 | Dillon Byrum | Specialist/Technologist | 28110 Eagle View Lane, Monroe, NC 28110 | 2014-07-29 |
| 1932545266 | Shane Markey | Dentist | 2258 W. Roosevelt Blvd, Suite A Dentistry of The Carolinas, Monroe, NC 28110 | 2013-05-14 |
| 1952648644 | Rolanda Johnson Abney | Social Worker | 2661 W Roosevelt Blvd Ste 107, Monroe, NC 28110 | 2013-01-15 |
| Find all providers in zip 28110 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730353814 | Joseph Glen Vitolo | Psychiatry & Neurology | 27 Hillsborough Dr, Monroe, NJ 08831-4746 | 2008-04-18 |
| 1578632089 | Ravindra Nath Polavarapu | Psychiatry & Neurology | 700 Stewart Rd, Suite 105, Monroe, MI 48162-5304 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1447725098 | Addictioncare 101 | Psychiatry & Neurology | 311 4 E Judges Road, Wilmington, NC 28405 | 2018-10-10 |
| 1942719950 | Peak Wellness Clinic Pllc | Psychiatry & Neurology | 5252 B N Sharon Amity Road, Charlotte, NC 28215 | 2017-09-21 |
| 1124446430 | Hien Ngoc Nguyen | Psychiatry & Neurology | 2172 N Salem St Ste 105, Apex, NC 27523-6457 | 2014-04-03 |
| 1467798520 | Sabina Benel | Psychiatry & Neurology | 5252b N Sharon Amity Rd, Charlotte, NC 28215-0053 | 2012-12-18 |
| 1518099910 | Nzinga Ajabu Harrison | Psychiatry & Neurology | 123 Professional Park Dr Ste 101, Mooresville, NC 28117-5516 | 2007-03-12 |
| 1962585513 | Elizabeth Shirley Stanton | Psychiatry & Neurology | 129 Mayo St, Hillsborough, NC 27278 | 2006-10-24 |
| 1548373525 | Marvin J Hoffert | Psychiatry & Neurology | 1011 Schaub Dr, Suite 201, Raleigh, NC 27606-1862 | 2006-08-16 |
| 1437162096 | Gregory Oran Dill | Psychiatry & Neurology | 932 Hendersonville Rd Ste 105c, Asheville, NC 28803-6628 | 2006-08-14 |
| 1538183942 | Gary G. Leonhardt | Psychiatry & Neurology | 203 Government Cir, Greenville, NC 27834-8198 | 2006-07-27 |
| Find all providers with the same taxonomy | ||||
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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.