Miss Traci Ann Ray, MS RD is a
Dietitian, Registered based in Sullivan, Indiana. Miss Traci Ann Ray is licensed to practice in Indiana (license number 864188) and her current practice location is
2200 N Section St, Sullivan, Indiana. She can be reached at her office (for appointments etc.) via phone at
(812) 268-4311.
NPI number for Miss Traci Ann Ray is 1104045871 and her current mailing address is 11388 Lake Rd, Terre Haute, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104045871.
Healthcare Provider's Profile
Full Name | Miss Traci Ann Ray |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 2200 N Section St, Sullivan, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104045871
- Provider Enumeration Date: 04/24/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Miss Traci Ann Ray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104045871 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 864188 (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Traci Ann Ray is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Traci Ann Ray, MS RD 11388 Lake Rd, Terre Haute, IN 47802-8437 Ph: (812) 894-2205 | Miss Traci Ann Ray, MS RD 2200 N Section St, Sullivan, IN 47882-7523 Ph: (812) 268-4311 |
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