DR. NICKLYA M. HARRIS-RAY (NPI# 1609829472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609829472 |
| Entity Type | Individual |
| Full Name | DR. NICKLYA M. HARRIS-RAY |
| Credential | DPM |
| Practice Address |
505 Robert Blvd Slidell LA 70458-1645 |
| Mailing Address |
45 Hardy Court Ctr Ste 136 Gulfport MS 39507-2501 |
| Practice Telephone | 9857105229 |
| Mailing Telephone | 9858974440 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2019-03-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | E4806 | CA | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | DPM200002 | LA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1582671 | 05 | |
| LA | MEDICARE RAILROAD | P00440632 | 01 |
| Street Address |
505 ROBERT BLVD |
| City | SLIDELL |
| State | LA |
| Zip Code | 70458-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083650840 | Commcare Corporation | Skilled Nursing Facility | 505 Robert Blvd, Slidell, LA 70458-1645 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
| 1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
| 1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
| 1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
| 1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
| 1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
| 1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
| 1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
| 1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
| Find all providers in zip 70458 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285894691 | Capitol Home Foot Services | Podiatrist | 857 Brownswitch Rd, Suite 290, Slidell, LA 70458-5335 | 2008-06-10 |
| 1437104155 | Steven J Watson | Podiatrist | 108 Smart Place, Suite A, Slidell, LA 70458 | 2006-05-23 |
| 1972558500 | William H Dabdoub | Podiatrist | 1150 Robert Blvd Ste 190, Slidell, LA 70458-2064 | 2006-05-23 |
| 1386197184 | Zohreh Mancil | Podiatrist | 1150 Robert Blvd Ste 190, Slidell, LA 70458-2064 | 2016-07-27 |
| 1952461204 | Keith J Luper | Podiatrist | 2750 East Gause Blvd., Slidell, LA 70461 | 2006-12-09 |
| 1699723577 | Sue A Hake | Podiatrist | 2750 Gause Blvd E, Slidell, LA 70461-4149 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639734973 | Baton Rouge Clinic, A Medical Corporation | Podiatrist | 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 | 2019-05-02 |
| 1952812455 | Maraist Foot and Ankle Center LLC | Podiatrist | 155 Hospital Dr Ste 203, Lafayette, LA 70503-2852 | 2017-10-24 |
| 1881009595 | Gentry Haughton, LLC | Podiatrist | 1505 E Bert Koun Loop, Suite 101, Shreveport, LA 71105-5723 | 2014-06-23 |
| 1457772774 | Luke Joseph Hunter | Podiatrist | 2269 Arkansas Rd, The Foot and Ankle Clinic of West Monroe, West Monroe, LA 71291-7818 | 2014-01-05 |
| 1871930305 | Rene J Hymel | Podiatrist | 79225 Lady Ln, Folsom, LA 70437-3115 | 2013-05-23 |
| 1326306465 | Elina Douenias | Podiatrist | 10735 Linkwood Ct, Baton Rouge, LA 70810-2901 | 2012-04-26 |
| 1720352727 | Panepinto Podiatry, LLC | Podiatrist | 1801 Clearview Pkwy, Metairie, LA 70001-2451 | 2012-03-08 |
| 1780992297 | John Lode | Podiatrist | 21051 Old Covington Hwy, Hammond, LA 70403-0523 | 2010-09-17 |
| 1326355280 | Foot & Ankle Specialty Clinic Inc. | Podiatrist | 1714 Kings Hwy, Shreveport, LA 71103-4152 | 2010-09-13 |
| 1477864338 | Rita Rae Fontenot | Podiatrist | 1403 Beech St, Westlake, LA 70669-4101 | 2010-06-25 |
| 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.