Individual provider Active NPI

Valerie J Rinehammer, PNP

  • Pediatric Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1003021080
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
5004154 Issued in NC
Practice address
3024 New Bern Ave
Raleigh, NC 27610-1247
Phone
(919) 350-7846
Fax
(919) 350-8147
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN048722 AZ
Pediatric Nurse Practitioner 363LP0200X AP1290 AZ
Pediatric Nurse Practitioner 363LP0200X 5004154 NC Primary

Addresses

Primary practice location

3024 New Bern Ave
Raleigh, NC 27610-1247

Mailing address

3350 Six Forks Rd
Raleigh, NC 27609-7233
Phone (919) 881-9440

Other practice location 1

110 Kildaire Park Dr
Cary, NC 27518-8162
Phone (919) 235-6506

Other practice location 2

204 Medspring Dr
Clayton, NC 27520-9293
Phone (919) 235-6505

Other identifiers 1

IdentifierTypeStateIssuer
1003021080MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190605000705 NC Practitioner - Nurse Practitioner 2860725991 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP1290AZMDPediatric Nurse Practitioner
RN048722AZMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Specialty Physicians LLC CurrentSince Jun 17, 2019 Accepting new patients
Wake Specialty Physicians, LLC CurrentSince Jun 17, 2019 Accepting new patients

Locations

110 Kildaire Park Dr
Cary, NC 27518
Phone (919) 235-0616

204 Medspring Dr
Clayton, NC 27520
Phone (910) 775-3130

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

3024 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-5318

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1003021080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097233",
            "telephone_number": "919-881-9440",
            "fax_number": "919-881-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101247",
            "telephone_number": "919-350-7846",
            "fax_number": "919-350-8147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Kildaire Park Dr",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275188162",
            "country_code": "US",
            "telephone_number": "919-235-6506",
            "fax_number": "919-235-6536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Medspring Dr",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NC",
            "postal_code": "275209293",
            "country_code": "US",
            "telephone_number": "919-235-6505",
            "fax_number": "919-235-6536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RINEHAMMER",
        "first_name": "VALERIE",
        "middle_name": "J",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "RN048722",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "AP1290",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5004154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003021080",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.