SHANTELL S WRAY (NPI# 1609966993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609966993 |
| Entity Type | Individual |
| Full Name | SHANTELL S WRAY |
| Credential | PA |
| Practice Address |
350 Main Ave C/o Dr. Appleby School Based Health Center At Briggs Hs Norwalk CT 06851-1510 |
| Practice Telephone | 2038466385 |
| Practice Fax Number | 2038466395 |
| Mailing Telephone | 2038466385 |
| Mailing Fax Number | 2038466395 |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2015-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 002435 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCCPA | 1071883 | 01 | |
| NY | DEA | MW1449556 | 01 |
| Street Address |
350 MAIN AVE C/O DR. APPLEBY SCHOOL BASED HEALTH CENTER AT BRIGGS HS |
| City | NORWALK |
| State | CT |
| Zip Code | 06851-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093282303 | Amanda Peluso | Audiologist | 350 Main Ave, Norwalk, CT 06851-1510 | 2018-10-25 |
| 1720226319 | Nelly Rachel Rabinowitz | Clinic/Center | 350 Main Ave, Briggs High School, Norwalk, CT 06851-1510 | 2009-02-04 |
| 1245446798 | Lesley Eisenberg | Social Worker | 350 Main Ave, Norwalk, CT 06851-1510 | 2007-05-14 |
| 1568592293 | Human Services Council | Clinic/Center | 350 Main Ave, Briggs High School Sbhc, Norwalk, CT 06851-1510 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144763434 | Cynthia Eliezer | Student in an Organized Health Care Education/Training Program | 120 East Ave 2nd Flr., Norwalk, CT 06851 | 2016-11-18 |
| 1356897672 | Be Balanced Naturopathic Care Center, LLC | Naturopath | 91 East Ave, Garden Level, Norwalk, CT 06851 | 2016-08-28 |
| 1861843559 | Valerie Andree Vincent | Student in an Organized Health Care Education/Training Program | 120 East Avenue-2nd Floor, Catholic Charities, Norwalk, CT 06851 | 2016-06-24 |
| 1417333758 | Laura Rebecca Nierenberg Fishman | Marriage & Family Therapist | 161 East Avenue, Suite 101, Norwalk, CT 06851 | 2015-08-10 |
| 1487085411 | Danielle Christine Boland | Social Worker | 206 Wolfpit Avenue, Norwalk, CT 06851 | 2013-12-02 |
| 1427485846 | Michelle Clement | Technician/Technologist | 650 Main Avenue, Norwalk, CT 06851 | 2013-09-30 |
| 1932447430 | Rebecca Roessler Velasquez | Social Worker | 225 W Rocks Rd, Norwalk, CT 06851 | 2013-01-18 |
| 1275809154 | Tiffany A. Mccarty | Social Worker | 166 East Ave Ste 204, Norwalk, CT 06851 | 2012-03-26 |
| 1356573547 | Cheree Louise Fenske | Clinical Neuropsychologist | 761 Main Ave Ste 104, Norwalk, CT 06851 | 2009-08-20 |
| 1083869572 | Carol Lynne Cooper | Obstetrics & Gynecology | 17 North Ave., Norwalk, CT 06851 | 2008-11-25 |
| Find all providers in zip 06851 | ||||
| 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 |
|---|---|---|---|---|
| 1780218271 | Brenda Nava | Physician Assistant | 13531 Thistle Ave, Norwalk, CA 90650-3244 | 2020-02-24 |
| 1700377546 | Constantino Papadopoulos | Physician Assistant | 23 Dairy Farm Rd, Norwalk, CT 06851-6024 | 2018-05-29 |
| 1245783380 | Danielle Nicole Munday | Physician Assistant | 761 Main Ave Ste 102, Norwalk, CT 06851-1080 | 2016-07-25 |
| 1912321803 | David Irving Allyn | Physician Assistant | 3 Oakwood Ave, Unit A25, Norwalk, CT 06850-1339 | 2014-02-12 |
| 1396816732 | Mary-jane Cross | Physician Assistant | 40 Stevens St, Norwalk, CT 06851 | 2006-11-09 |
| 1356410013 | Monica Moore | Physician Assistant | 10 Glover Ave, Norwalk, CT 06850-1202 | 2006-11-07 |
| 1265448294 | Glenn Michael De Guzman | Physician Assistant | 13330 Bloomfield Ave Ste 111, Norwalk, CA 90650-3264 | 2006-07-31 |
| 1326026428 | Todd D Hills | Physician Assistant | 280 Benedict Ave Ste B, Norwalk, OH 44857-2374 | 2006-01-09 |
| 1114914744 | Gloria Degenhardt | Physician Assistant | 200 W North St., Norwalk, WI 54648-0225 | 2005-09-29 |
| 1235752049 | Amanda Nicole Conti | Physician Assistant | 34 Maple St, Norwalk, CT 06850-3894 | 2020-05-27 |
| Find all providers in NORWALK | ||||
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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.