MICHAEL RAY FNP-BC NPI 1679028468

NPI Information

  • NPI: 1679028468
  • Provider Name: MICHAEL RAY, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1900 E HISTORIC HIGHWAY 66 STE 1
    GALLUP, NM
    ZIP 87301
  • Phone: (505) 324-6300

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NPI Details

Michael Ray, FNP-BC is a family nurse practitioner in Gallup, NM with 10 years of experience. Michael Ray, FNP-BC NPI is 1679028468. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1900 E HISTORIC HIGHWAY 66 STE 1
GALLUP, NM
ZIP 87301-883
Phone: (505) 324-6300

The NPI 1679028468 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/22/2016 and was last updated on 12/12/2023.

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
1363LF0000XNurse PractitionerFamilyCNP-03028NEW MEXICOYes

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: 11/21/2025

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