MARY JO RAY ARNP
NPI 1396748901
Nurse Practitioner - Pediatrics in Keokuk, IA

Active since May 27, 2005
400 N 17TH ST, KEOKUK, IA 52632(319) 524-5734(319) 524-5758 Get Directions Write a Review

NPPES record last updated: September 20, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Jo Ray Arnp NPPES

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

MARY JO RAY ARNP (NPI 1396748901) is an individual pediatrics provider in Keokuk, Iowa, licensed in Iowa (C076938) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1396748901
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARY JO RAYCredential: ARNP
Location Address400 N 17TH STKeokuk, IA 52632-3452
Mailing Address400 N 17th StKeokuk, IA 52632-3452 · (319) 524-5734 · Fax (319) 524-5758
Fax(319) 524-5758
Sole ProprietorNo
Enumeration DateMay 27, 2005
Last NPPES UpdateSeptember 20, 2013
NPI 1396748901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses Licensed in IA · C076938 Licensed in IL · 041-138505
400 N 17TH ST, Keokuk, IA 52632

Other Identifiers 9

Medicare ID-Type Unspecified161816Medicare Ugs
Medicare ID-Type UnspecifiedI7911Medicare B
Other421527584Tri-care Group Number
Other42152758405John Deere
MedicaidO278374IA
Medicaid429203201MO
Other33627Blue Cross Blue Shield
Medicaid421527584003IL
Medicare UPINS20916

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Family)
400 N 17TH ST
KEOKUK, IA 52632
Social Worker
400 N 17TH ST
KEOKUK, IA 52632
Counselor (Professional)
400 N 17TH ST
KEOKUK, IA 52632
Clinic/Center (Federally Qualified Health Center (FQHC))
400 N 17TH ST
KEOKUK, IA 52632
Nurse Practitioner (Family)
400 N 17TH ST
KEOKUK, IA 52632
Nurse Practitioner (Family)
400 N 17TH ST
KEOKUK, IA 52632
General Practice
400 N 17TH ST
KEOKUK, IA 52632
Nurse Practitioner (Family)
400 N 17TH ST
KEOKUK, IA 52632

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 Mary Ray's NPI number?

The NPI number for Mary Ray is 1396748901. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Mary Ray located?

Mary Ray practices at 400 N 17th St, Keokuk, IA 52632. The listed phone number is (319) 524-5734.

What is Mary Ray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mary Ray was last updated on September 20, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.