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ETHAN MATTHEW RAY
NPI 1295693117
Student in an Organized Health Care Education/Training Program in Johnson City, TN

Active since January 10, 2026
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604(423) 431-6111 Get Directions Write a Review

NPPES record last updated: January 10, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ethan Matthew Ray NPPES

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

ETHAN MATTHEW RAY (NPI 1295693117) is an individual student in an organized health care education/training program in Johnson City, Tennessee and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1295693117
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN MATTHEW RAY
Location Address400 N STATE OF FRANKLIN RDJohnson City, TN 37604-6035
Mailing Address74 Finney RdHonaker, VA 24260-6342
Phone(423) 431-6111
Sole ProprietorYes
Enumeration DateJanuary 10, 2026
NPPES CertifiedJanuary 10, 2026
✔ NPI 1295693117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

400 N STATE OF FRANKLIN RD, Johnson City, TN 37604
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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.

MRS. MELISSA S PALAZZO M.D.
Internal Medicine (Critical Care Medicine)
400 N STATE OF FRANKLIN RD, ROOM 2746
JOHNSON CITY, TN 37604
Washington County (423) 431-2390
BEDFORD W. BONTA MD
Pediatrics (Neonatal-Perinatal Medicine)
400 N STATE OF FRANKLIN RD, 1ST FLOOR
JOHNSON CITY, TN 37604
Washington County (423) 431-6671
MICHAEL K KAPLON MD
Internal Medicine (Hematology & Oncology)
400 N STATE OF FRANKLIN RD, 1ST FLOOR
JOHNSON CITY, TN 37604
Washington County (423) 433-6200
DR. DAVID W STEWART PHARM.D.
Pharmacist (Pharmacotherapy)
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6111
TAMMY EDWARDS RN
Registered Nurse (Case Management)
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6000
DR. KYLE COLVETT M.D.
Radiology (Radiation Oncology)
400 N STATE OF FRANKLIN RD, CANCER TREATMENT CENTER
JOHNSON CITY, TN 37604
Washington County (423) 431-6000
DR. SANDRA KAYE BROOKS MD
Pathology (Anatomic Pathology & Clinical Pathology)
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6389
DR. PATRICK NICHOLAS COSTELLO MD
Pathology (Anatomic Pathology & Clinical Pathology)
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6389

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 Ethan Ray's NPI number?

The NPI number for Ethan Ray is 1295693117. It was assigned to this individual provider in the NPPES registry on January 10, 2026.

Where is Ethan Ray located?

Ethan Ray practices at 400 N State Of Franklin Rd, Johnson City, TN 37604. The listed phone number is (423) 431-6111.

What is Ethan Ray's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ethan Ray was last updated on January 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.