Individual provider Active NPI

Rabany Clayborn, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1003163460
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
6067-33 Issued in WI
Practice address
3522 W Lisbon Ave
Milwaukee, WI 53208-1953
Phone
(414) 935-8000
NPI assigned
Aug 4, 2012
Last updated
Jun 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6067-33 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 6067-33 WI Primary
Registered Nurse 163W00000X 190291-30 WI

Addresses

Primary practice location

3522 W Lisbon Ave
Milwaukee, WI 53208-1953

Mailing address

2945 N 53Rd St
Milwaukee, WI 53210-1616
Phone (414) 581-9199

Other practice location 1

2945 N 53rd St
Milwaukee, WI 53210-1616
Phone (414) 581-9199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20160229001305 WI Practitioner - Nurse Practitioner 6507161528 Reassigns benefits to 5 organizations
Practice locations: Milwaukee, WI

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3522 W Lisbon Ave
Milwaukee, WI 53208-1953
Phone 41493580001437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
190291-30WIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 6, 2025 Accepting new patients
Trilogy Behavioral Health Services CurrentSince Jan 13, 2026 Accepting new patients
Jewish Family Services, Inc. CurrentSince Mar 27, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients
NP Wellness Consulting, LLC CurrentSince Jul 1, 2025 Accepting new patients
Sacred Lives Prenatal Care, LLC Current Accepting new patients

Locations

4321 W College Ave
Ste 200
Appleton, WI 54914
Phone (920) 519-2920

811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420

1300 N Jackson St
Milwaukee, WI 53202
Phone (414) 390-5800

2741 W Fond du Lac Ave
Milwaukee, WI 53210
Phone (800) 917-7102

7384 N 60th St
Milwaukee, WI 53223
Phone (414) 737-4774

Interoperability endpoints

  • Direct secure messaging: rclayborn278362@direct.ochin.org

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1344038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1003163460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 N 53RD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101616",
            "telephone_number": "414-581-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3522 W LISBON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532081953",
            "telephone_number": "414-935-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2945 N 53rd St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532101616",
            "country_code": "US",
            "telephone_number": "414-581-9199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAYBORN",
        "first_name": "RABANY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-04",
        "last_updated": "2021-06-29",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "6067-33",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "6067-33",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "190291-30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.