Walter Rae, RN

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

0260058372 Issued in VT

Practice address

58 Big Deer Run
Newfane, VT 05345-9570

Phone

(802) 365-9499

NPI assigned

Apr 23, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1003133570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 BIG DEER RUN",
            "city": "NEWFANE",
            "state": "VT",
            "postal_code": "053459570",
            "telephone_number": "802-365-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 BIG DEER RUN",
            "city": "NEWFANE",
            "state": "VT",
            "postal_code": "053459570",
            "telephone_number": "802-365-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAE",
        "first_name": "WALTER",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "VT",
            "license": "0260058372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39911600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Digiovanna, MSW LICSW
• Thomas Hersh
• Ingrid S. Longo, PC
• Ingrid Scholz Longo, LICSW
• Brooke Plantier, CRISIS COUNSELOR
• Frances Recchi, MA, LMHC
• Southern Vermont Therapeutic Riding Center
• Kathleen Squires
• Julia Stifler, MSW, MS, LICSW
• Kelly Ann Wicker, LCMHC

• Critical Access Hospital in Newfane, VT
• Providers in Newfane, VT by specialty
• Critical Access Hospital in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.