MS. LISA MARIE WRAY


Address: 4642 N Loop 289, Suite 219, Lubbock, TX 79416-2409
Phone: 8067957762

MS. LISA MARIE WRAY (NPI# 1568646925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568646925
Entity Type Individual
Full Name MS. LISA MARIE WRAY
Credential RN, FNP-C
Practice Address 4642 N Loop 289
Suite 219
Lubbock
TX 79416-2409
Practice Telephone 8067957762
Practice Fax Number 8067967168
Mailing Telephone 8067957762
Mailing Fax Number 8067967168
Enumeration Date 2007-12-20
Last Update Date 2008-10-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
605906 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX FIRSTCARE 160387100 01
TX BLUE CROSS 8Y3502 01

Other Providers LISA WRAY

NPI Name Taxonomy Address Enumeration
1053824524 Lisa Milton Wray Speech-Language Pathologist 25 Bernard Rd, Rocky Mount, VA 24151-6614 2017-11-07
1639402928 Lisa J Wray Case Manager/Care Coordinator 302 N Main St, Carlsbad, NM 88220-5896 2009-09-17
1619170925 Lisa Wray Pediatrics 3401 Civic Center Blvd, Philadelphia, PA 19104 2007-06-06

Office Location

Street Address 4642 N LOOP 289
SUITE 219
City LUBBOCK
State TX
Zip Code 79416-2409

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669475372 Patrick F Molligan Orthopaedic Surgery 4642 N Loop 289, Ste 219, Lubbock, TX 79416-2425 2005-05-27
1902358559 Amy Hopkins Nurse Practitioner 4642 N Loop 289, Suite 215, Lubbock, TX 79416-2409 2016-10-31
1417326547 Mika Polly Nurse Practitioner 4642 N Loop 289, Ste 211, Lubbock, TX 79416-2425 2015-09-18
1508201526 Physical Therapy Today of Lubbock, Lp Physical Therapist 4642 N Loop 289, Suite 205, Lubbock, TX 79416-2409 2013-05-03
1417140641 Shamima Sattar Internal Medicine 4642 N Loop 289, Lubbock, TX 79416-2409 2007-08-21
1740338433 Julius Lyonga Physician Assistant 4642 N Loop 289, Suite 101, Lubbock, TX 79416-2409 2007-01-08
1962568642 Carlos Rizo-patron Internal Medicine 4642 N Loop 289, Ste. 215, Lubbock, TX 79416-2409 2006-12-28
1093873176 Center for Orthopedic Surgery L.l.p. Orthopaedic Surgery 4642 N Loop 289, Suite 101, Lubbock, TX 79416-2409 2006-12-04
1306932116 Darla F Gleaves Specialist/Technologist 4642 N Loop 289, Suite 101, Lubbock, TX 79416-2409 2006-10-05
1538270277 Pinnacle Imaging, Lp Clinic/Center 4642 N Loop 289, Suite 111, Lubbock, TX 79416-2409 2006-08-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710502174 Jordan Lane Thompson Pharmacist 6313 4th Street, Lubbock, TX 79416 2020-06-11
1821636481 Chieh-an Chou Specialist/Technologist 201 N Winston Ave, Lubbock, TX 79416 2019-12-13
1790341949 Michael Mcpherson, M.d. P.a. Internal Medicine 5406 Colgate St, Lubbock, TX 79416 2019-05-14
1154893675 South Plains Rehabilitation Hospital, LLC Rehabilitation Hospital 5406 Colgate Street, Lubbock, TX 79416 2018-12-21
1932697182 Timothy Sampana Student in an Organized Health Care Education/Training Program 5217 Lehigh St, Lubbock, TX 79416 2018-04-24
1306347711 4th Street Dental, Pllc Dentist 5709 4th St, Lubbock, TX 79416 2018-02-22
1639682503 South Plains Surgery Center LLC Clinic/Center 4412 6th Street, Lubbock, TX 79416 2017-11-14
1013459809 Isabel Garcia Occupational Therapy Assistant 1717 Northfolk Ave, #a, Lubbock, TX 79416 2016-11-09
1033589213 Rehab Care Skilled Nursing Facility 1717 Norfork Ave, Bldg A, Lubbock, TX 79416 2015-10-01
1902281306 Carrillon Clinic/Center 1717 Norfold Bld A, Lubbock, TX 79416 2015-07-27
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053911859 Amber Marie Bowman Nurse Practitioner 5106 59th St, Lubbock, TX 79414-4312 2020-10-29
1609475219 Jonathan-michael Aaron Sisson Nurse Practitioner 7421 104th St, Lubbock, TX 79424-6079 2020-10-23
1174134753 Rebecca Stephanie Castillo Nurse Practitioner 5528 109th St, Lubbock, TX 79424-7680 2020-08-16
1508487398 Mark Angelo Padolina Nurse Practitioner 1101 Oshkosh Ave, Lubbock, TX 79416-3810 2020-05-03
1841826724 Leticia Luna Flores Cooper Nurse Practitioner 2511 60th St, Lubbock, TX 79413-5641 2020-03-23
1952931693 Camella Dawn Ladd Nurse Practitioner 1307 Martin Luther King Blvd, Lubbock, TX 79403-5329 2020-01-22
1962042598 Wendy Geraldine Avalos Nurse Practitioner 9304 Primrose Ave, Lubbock, TX 79424-6799 2020-01-11
1619516325 Jessica Krueger Nurse Practitioner 5502 103rd St, Lubbock, TX 79424-6417 2019-12-27
1417596438 Alicia Michelle Powell Nurse Practitioner 6102 82nd St Ste 14, Lubbock, TX 79424-0840 2019-12-23
1376181537 Ashley Nicole White Nurse Practitioner 5614 100th St, Lubbock, TX 79424-6268 2019-12-18
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Competitor

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City LUBBOCK
Zip Code 79416

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Dataset Information

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.

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