Active NPI
Rabany Clayborn, NP-C
- Psychiatric/Mental Health Nurse Practitioner
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 6067-33
- Practice address
- 3522 W Lisbon Ave
Milwaukee, WI 53208-1953 - Phone
- (414) 935-8000
- NPI assigned
- Aug 4, 2012
- Last updated
- Jun 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 190291-30 | WI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Trilogy Behavioral Health Services | Current | Accepting new patients | |
| Jewish Family Services, Inc. | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| NP Wellness Consulting, LLC | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Milwaukee, WI
- NPI 1720153653
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1659466209
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brown Deer, WI
- NPI 1508586033
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
Psychiatric/Mental Health, WI
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
WI
-
- Health Service Clinic/Center
- Wauwatosa, WI
- NPI 1881588408
-
- Case Management Agency
- Milwaukee, WI
- NPI 1922706845
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.