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Deactivated NPI 1588313712 Deactivated / Inactive NPI Female Practitioner

Nickole Rebecca Tray

Licensed Practical Nurse • Blue Bell, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Nickole Tray has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 23, 2022
NPI Deactivation Date February 19, 2026
Total Practice Duration ~4 Years of Practice (2022 – 2026)

Professional Overview & Biography Verified Profile Summary

Nickole Tray was a registered Licensed Practical Nurse practicing in Blue Bell, PA. Throughout an active medical career spanning 4 years, Nickole Tray provided care at the practice location at 960 HARVEST DRIVE until profile deactivation on 2026-02-19.

Practice Location & Contact Primary Location

Practice Address

960 Harvest Drive
#a Suite 100

Blue Bell, PA 194220009

Telephone 6108259360
Associated Practice Facility / Clinic
🏢 Kencrest Services Facility NPI 1144355835

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Blue Bell, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
13 Specialists

Practicing in Blue Bell, PA (4134 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License PA PN100838L

An individual 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kelli Page

Occupational Therapist

NPI 1033307442
Vicki Meitus , MA

Speech-Language Pathologist

NPI 1063740223

Master of Arts

Stephanie Painter

Speech-Language Pathologist

NPI 1093930851
Marita Needles

Speech-Language Pathologist

NPI 1104041953
Lisa Raggi

Speech-Language Pathologist

NPI 1114142874
Debbie Lord , MA, CCC-SLP, L

Speech-Language Pathologist

NPI 1114291861

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence), L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 19, 2026

Record deactivated on February 19, 2026

NPI Profile Active March 23, 2022

NPI status registered as active in NPPES database

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Updated Practice Location March 23, 2022

Registered at 960 HARVEST DRIVE, #A SUITE 100, BLUE BELL, PA 194220009 (Tel: 6108259360)

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Updated Business Mailing Address March 23, 2022

Registered at 1234 PINE RIDGE DR, PERKIOMENVILLE, PA 180749456 (Tel: 6102832482)

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Provider Name / Credentials Updated March 23, 2022

Recorded as NICKOLE TRAY

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2022

Licensed Practical Nurse (License #PN100838L in PA)

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Initial NPI Registration & Enumeration March 23, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588313712
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2022
Last Update: March 23, 2022
Deactivation Date: February 19, 2026

Mailing Address

1234 Pine Ridge Dr

Perkiomenville, PA 180749456

Phone: 6102832482

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.