KIMBERLY K RAY (NPI# 1184885337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184885337 |
| Entity Type | Individual |
| Full Name | KIMBERLY K RAY |
| Credential | PA-C |
| Practice Address |
1901 S Hawthorne Rd Suite 310 Winston Salem NC 27103-3921 |
| Mailing Address |
1830 S Hawthorne Rd Winston Salem NC 27103-4014 |
| Practice Telephone | 3364482427 |
| Practice Fax Number | 3367652869 |
| Mailing Telephone | 3364482427 |
| Mailing Fax Number | 3367652869 |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-01384 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 12348444 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1830 S Hawthorne Rd, Winston Salem, NC 271034014 | (336) 448-2427 | 3367652869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619333085 | Kimberly Ray | Specialist | 131 Ne Highway 99w, Mcminnville, OR 97128 | 2016-01-14 |
| 1912253485 | Kimberly Ray | Speech-Language Pathologist | 1681 E Village Green Rd, Cottonwood Heights, UT 84121-2813 | 2012-08-01 |
| 1124281522 | Kimberly Ann Ray | Social Worker | 744 East Lincoln Hwy, Suite 410, Coatesville, PA 19320 | 2008-07-07 |
| 1851448963 | Kimberly Palmer Ray | Psychologist | 2001 N. West St., Jackson, MS 39202-1037 | 2007-01-04 |
| 1679664411 | Kimberly L Ray | Nurse Practitioner | 2409 Highway 70 E, Dickson, TN 37055-6126 | 2006-09-27 |
| 1336798594 | Kimberly Ann Ray | Behavior Technician | 6190 Barnes Rd, Colorado Springs, CO 80922-2600 | 2019-09-10 |
| 1235649278 | Kimberly S Ray | Case Manager/Care Coordinator | 122 W Center St, Fostoria, OH 44830-2201 | 2017-10-04 |
| 1790225456 | Kimberly Ray | Day Training/Habilitation Specialist | 1208 Highway 371 S, Nettleton, MS 38858-6929 | 2017-02-28 |
| 1609274125 | Kimberly Myles Ray | Social Worker | 3905 Ford Rd, Suite 600, Philadelphia, PA 19131-2824 | 2014-12-16 |
| 1619231958 | Kimberly Ray | Pharmacist | 11 Trieble Ave, Ballston Spa, NY 12020-6010 | 2012-07-02 |
| Street Address |
1901 S HAWTHORNE RD SUITE 310 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-3921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235120700 | Whap Pa | Obstetrics & Gynecology | 1901 S Hawthorne Rd, Ste 320, Winston Salem, NC 27103-3921 | 2005-11-02 |
| 1851744841 | Kianna Dawn Wood | Physician Assistant | 1901 S Hawthorne Rd, Suite #310, Winston Salem, NC 27103-3921 | 2016-07-14 |
| 1033523725 | Gastroenterology Associates of The Piedmont, P.a. | Anesthesiology | 1901 S Hawthorne Rd, Suite 308, Winston Salem, NC 27103 | 2014-06-20 |
| 1255755963 | Forsyth Memorial Hospital Inc | Internal Medicine | 1901 S Hawthorne Rd, Suite 220, Winston Salem, NC 27103-3921 | 2014-02-17 |
| 1336585561 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 1901 S Hawthorne Rd, Suite 310, Winston Salem, NC 27103 | 2013-05-15 |
| 1730444290 | Brooke E Orr | Dietitian, Registered | 1901 S Hawthorne Rd, Suite 360, Winston Salem, NC 27103-3921 | 2012-07-11 |
| 1730449240 | Kathleen Ann Sigler | Dietitian, Registered | 1901 S Hawthorne Rd, Suite 360, Winston Salem, NC 27103-3921 | 2012-05-18 |
| 1821358326 | Regina Ann Gordon | Dietitian, Registered | 1901 S Hawthorne Rd, Suite 360, Winston Salem, NC 27103-3921 | 2012-05-18 |
| 1508099839 | Whitney H Brooks | Physician Assistant | 1901 S Hawthorne Rd, Suite 310, Winston Salem, NC 27103-3921 | 2009-09-03 |
| 1962645929 | Blake K Scott | Internal Medicine | 1901 S Hawthorne Rd, Suite 310, Winston Salem, NC 27103-3921 | 2009-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375032 | Anthony Gentile | Physician Assistant | 2632 Wynbrook Dr, Winston Salem, NC 27103-8005 | 2020-08-07 |
| 1376152074 | Meera Shah | Physician Assistant | 3288 Robinhood Rd Ste 202, Winston Salem, NC 27106-5464 | 2020-07-28 |
| 1770118457 | Heather Leigh Bissell | Physician Assistant | 153 Lavender Ln, Winston Salem, NC 27107-6023 | 2020-03-03 |
| 1245899806 | Cheryl L Sizer | Physician Assistant | Wake Forest Baptist Health 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2019-06-07 |
| 1235606575 | Vincent James Alderete | Physician Assistant | Wake Forest Baptist Health 1 Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2018-10-25 |
| 1386127538 | Frederick Keith Stirewalt | Physician Assistant | Medical Center Blvd Faithhealth, Winston Salem, NC 27157-0001 | 2018-09-13 |
| 1164936852 | Lindsay Webster | Physician Assistant | 10479 Nc-109, 107a, Winston Salem, NC 27107 | 2017-11-17 |
| 1518477694 | Raul Canchari Ames | Physician Assistant | 512 Waughtown St, Winston Salem, NC 27127-2236 | 2017-10-03 |
| 1922528611 | Devon Adams | Physician Assistant | 1 Medical Center Blvd Gastroenterology Dept, Winston Salem, NC 27157-7223 | 2017-06-22 |
| 1053862474 | Seguin Warwick Beuerlein | Physician Assistant | 2425 Riley Forest Dr, Winston Salem, NC 27127-7573 | 2016-10-20 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on KIMBERLY K RAY.
| 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.