Healthcare Provider Details

I. General information

NPI: 1528997764
Provider Name (Legal Business Name): ASHLEY MCCRAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8250 GEORGIA AVE APT 908
SILVER SPRING MD
20910-5067
US

IV. Provider business mailing address

8250 GEORGIA AVE APT 908
SILVER SPRING MD
20910-5067
US

V. Phone/Fax

Practice location:
  • Phone: 407-808-8696
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License NumberE0925917
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: