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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: August 09, 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.

DR. CASEY JAMES WILBERT PHARM.D
Pharmacist
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-2787
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Internal Medicine (Cardiovascular Disease)
400 N STATE OF FRANKLIN RD, ROOM LK015
JOHNSON CITY, TN 37604
Washington County (423) 431-5965
MITCHELL DESHAZER
Internal Medicine (Critical Care Medicine)
400 N STATE OF FRANKLIN RD, ROOM 2746
JOHNSON CITY, TN 37604
Washington County (423) 431-2727
DR. ANDREW LEE GIBSON MD
Emergency Medicine
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6111
MCKENZIE PEARL GREGG PA-C, MMS, MPH
Physician Assistant
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6111
OLUWATOSIN ORIOLA AYANJOKE MD
Family Medicine
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6111
HUNTER DORTON
Student in an Organized Health Care Education/Training Program
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-6111
DR. LEON CHARLES BASS M.D.
Internal Medicine (Pulmonary Disease)
400 N STATE OF FRANKLIN RD, ROOM 2746
JOHNSON CITY, TN 37604
Washington County (423) 431-2727

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.