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KRISTIN RAY
NPI 1205112646
Licensed Practical Nurse in Rapid City, SD

Active since October 31, 2011
3200 CANYON LAKE DR, RAPID CITY, SD 57702(605) 355-2500 Get Directions Write a Review

NPPES record last updated: October 31, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kristin Ray NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTIN RAY (NPI 1205112646) is an individual licensed practical nurse in Rapid City, South Dakota, licensed in Illinois (043083321) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1205112646
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKRISTIN RAY
Location Address3200 CANYON LAKE DRRapid City, SD 57702-8114
Mailing Address1845 Harmony Heights Ln, Apt #104Rapid City, SD 57702-6245
Phone(605) 355-2500
Sole ProprietorNo
Enumeration DateOctober 31, 2011
✔ NPI 1205112646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in IL · 043083321
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
3200 CANYON LAKE DR, Rapid City, SD 57702
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Other Identifiers 5

Medicare OSCAR/certification430082SD
Medicare UPINPHS000SD
Medicare PINHSZ050SD
Medicaid0140070SD
Medicaid5549050SD

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABBYGAIL BINGHAM MLT
Technician, Pathology
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2229
JOLENE PETERSON MSW LCSW PIP
Social Worker (Clinical)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2215
MS. DONNA MARIE HUBER RN
Registered Nurse
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2298
MICHELLE GIBALDI
Technician, Pathology (Medical Laboratory)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2228
KATHY HOGG
Registered Nurse (Case Management)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2500
OGLALA SIOUX TRIBE
Non-emergency Medical Transport (VAN)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 343-7832
FRANCES MARIE GRAY RN
Registered Nurse
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2500
MRS. JEANETTE KAY OFSTAD MT(ASCP)
Specialist/Technologist, Pathology (Medical Technologist)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristin Ray's NPI number?

The NPI number for Kristin Ray is 1205112646. It was assigned to this individual provider in the NPPES registry on October 31, 2011.

Where is Kristin Ray located?

Kristin Ray practices at 3200 Canyon Lake Dr, Rapid City, SD 57702. The listed phone number is (605) 355-2500.

What is Kristin Ray's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kristin Ray was last updated on October 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.