Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katie Ray

Individual provider Family Nurse Practitioner · NPI 1477277036

Katie Ray is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2022, 4 years ago. Practices with Fitness Clinic Wellness, a 12-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
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Practice location Address checks out

2219 Greenway Dr
Jackson, MS 39204-3202
Phone: (601) 983-7494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8619 Arrow Creek Dr, Parrish, FL 34219-1113 — (810) 513-2114

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11019332 (FL)

Record details

NPI number1477277036
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 28, 2022
Last updated in NPPESMay 14, 2025
Certification dateMay 8, 2025
Mailing address8302 Carrhill Pl Parrish, Fl 34219, Parrish, FL 34219-1113

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Fitness Clinic Wellness — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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