KRISTIN RAY NPI 1205112646

NPI Information

NPI: 1205112646
Provider Name: KRISTIN RAY
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702
Phone: (605) 355-2500
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Kristin Ray is a licensed practical nurse in Rapid City, SD. The provider is 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. Kristin Ray NPI is 1205112646. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702-114
Phone: (605) 355-2500

The enumeration date for this NPI number is 10/31/2011 and was last updated on 10/31/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		043083321	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	430082	MEDICARE OSCAR/CERTIFICATION	SOUTH DAKOTA
2	PHS000	MEDICARE UPIN	SOUTH DAKOTA
3	HSZ050	MEDICARE PIN	SOUTH DAKOTA
4	0140070	MEDICAID	SOUTH DAKOTA
5	5549050	MEDICAID	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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