KATELYN RAY FNP
NPI 1497308936
Nurse Practitioner - Family in Corona Del Mar, CA

Active since July 23, 2019
3800 E COAST HWY STE 2, CORONA DEL MAR, CA 92625(949) 432-5863 Get Directions Write a Review

NPPES record last updated: April 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2024, Jul 23, 2019 (2 updates tracked since 2019).

About Katelyn Ray Fnp NPPES

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

KATELYN RAY FNP (NPI 1497308936) is an individual family provider in Corona Del Mar, California, licensed in California (95012252) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1497308936
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATELYN RAYCredential: FNP
Location Address3800 E COAST HWY STE 2Corona Del Mar, CA 92625-2548
Mailing Address1617 Sierra Vista AvePlacentia, CA 92870-6610 · (562) 899-1956
Sole ProprietorNo
Enumeration DateJuly 23, 2019
Last NPPES UpdateApril 6, 20242 updates tracked since enumeration
NPPES CertifiedApril 6, 2024
NPI 1497308936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95012252
3800 E COAST HWY STE 2, Corona Del Mar, CA 92625

Other Names 1

Former Name (1)Katelyn Hicks

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
3800 E COAST HWY STE 2
CORONA DEL MAR, CA 92625
Nurse Practitioner (Primary Care)
3800 E COAST HWY STE 2
CORONA DEL MAR, CA 92625
Nurse Practitioner (Family)
3800 E COAST HWY STE 2
CORONA DEL MAR, CA 92625
Nurse Practitioner
3800 E COAST HWY STE 2
CORONA DEL MAR, CA 92625

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 Katelyn Ray's NPI number?

The NPI number for Katelyn Ray is 1497308936. It was assigned to this individual provider in the NPPES registry on July 23, 2019. The provider is also known as Katelyn Hicks.

Where is Katelyn Ray located?

Katelyn Ray practices at 3800 E Coast Hwy Ste 2, Corona Del Mar, CA 92625. The listed phone number is (949) 432-5863.

What is Katelyn Ray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Katelyn Ray was last updated on April 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.