1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Licensed Practical Nurse
  6. NPI Profile

MRS. SHAUTLEY MARIEA RAY LPN
NPI 1346584489
Licensed Practical Nurse in Saint Louis, MO

Active since November 15, 2012
5471 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112(314) 367-5820(314) 367-6326 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Shautley Mariea Ray Lpn NPPES

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

MRS. SHAUTLEY MARIEA RAY LPN (NPI 1346584489) is an individual licensed practical nurse in Saint Louis, Missouri, licensed in Missouri (2002013492) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1346584489
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. SHAUTLEY MARIEA RAYCredential: LPN
Location Address5471 DR MARTIN LUTHER KING DRSaint Louis, MO 63112-4265
Mailing Address5471 Dr Martin Luther King DrSaint Louis, MO 63112-4265 · (314) 367-5820 · Fax (314) 367-6326
Phone(314) 367-5820
Fax(314) 367-6326
Sole ProprietorNo
Enumeration DateNovember 15, 2012
✔ NPI 1346584489 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 MO · 2002013492
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.
5471 DR MARTIN LUTHER KING DR, Saint Louis, MO 63112
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Shautley Mariea Noel Lpn

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.

MS. CARLA DAUGHERTY DDS
Dentist
5471 DR MARTIN LUTHER KING DR
ST LOUIS, MO 63112
St. Louis City (314) 367-5820
MRS. JETUAN L ROWLEY-HERRON M.D.
Family Medicine
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
St. Louis City (314) 367-5820
MRS. ANDREA LASHELLE BRUCE LPN
Licensed Practical Nurse
5471 DR MARTIN LUTHER KING DR
ST LOUIS, MO 63112
St. Louis City (314) 367-5820
MRS. TERESITA AGUSTIN COMETA MD
Family Medicine
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
St. Louis City (314) 367-5820
DR. LAILA G. GABRAWY M.D.
Ophthalmology
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
St. Louis City (314) 367-5820
RODELYNN RICHEE LPN
Licensed Practical Nurse
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
St. Louis City (314) 367-5820
MRS. PAMELA LATONIA MARSHALL RPH
Pharmacist
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
St. Louis City (314) 367-5820
MRS. MARGARET CHINYERE NWAOBASI RN MSN
Registered Nurse
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112
St. Louis City (314) 367-5820

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 Shautley Ray's NPI number?

The NPI number for Shautley Ray is 1346584489. It was assigned to this individual provider in the NPPES registry on November 15, 2012. The provider is also known as Ms. Shautley Mariea Noel Lpn.

Where is Shautley Ray located?

Shautley Ray practices at 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112. The listed phone number is (314) 367-5820.

What is Shautley 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 Shautley Ray was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.