Active NPI
Lamyra Kantrail Rayner-McGee, NCSP
- School Psychologist
- Madison, AL
National Provider Identifier
1003630500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- ALC04977
- Practice address
- 705 Tide Creek Dr SW
Madison, AL 35756-5411 - Phone
- (985) 503-2869
- NPI assigned
- Nov 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 72553 | TX | |
| School Psychologist | 103TS0200X | ALC04977 | AL | Primary |
Addresses
Primary practice location
705 Tide Creek Dr SW
Madison, AL 35756-5411
Mailing address
705 Tide Creek Dr SW
Madison, AL 35756-5411
Phone (985) 503-2869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ALC04977 | AL | MD | Mental Health Counselor |
| 72553 | TX | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1003630500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 TIDE CREEK DR SW",
"city": "MADISON",
"state": "AL",
"postal_code": "357565411",
"telephone_number": "985-503-2869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 TIDE CREEK DR SW",
"city": "MADISON",
"state": "AL",
"postal_code": "357565411",
"telephone_number": "985-503-2869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYNER-MCGEE",
"first_name": "LAMYRA",
"middle_name": "KANTRAIL",
"name_prefix": "Mrs.",
"credential": "NCSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-12",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TX",
"license": "72553",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AL",
"license": "ALC04977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.