Active NPI
Malkia Rayner, R.N.
- Registered Nurse
- Raleigh, NC
National Provider Identifier
1013247501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 234038
- Practice address
- 4406 Old Wake Forest Rd
Suite 201
Raleigh, NC 27609-2527 - Phone
- (919) 790-7663
- NPI assigned
- Jan 5, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 234038 | NC | Primary |
| Licensed Practical Nurse | 164W00000X | 64167 | NC |
Addresses
Primary practice location
4406 Old Wake Forest Rd
Suite 201
Raleigh, NC 27609-2527
Mailing address
1970 Old Raleigh Rd
Clinton, NC 28328-5891
Phone (910) 379-4770
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234038 | NC | MD | Registered Nurse |
| 64167 | NC | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crandell'S Enterprise'S Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Raleigh, NC
- NPI 1346477098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262649600000",
"number": "1013247501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1970 OLD RALEIGH RD",
"city": "CLINTON",
"state": "NC",
"postal_code": "283285891",
"telephone_number": "910-379-4770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4406 OLD WAKE FOREST RD",
"address_2": "SUITE 201",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276092527",
"telephone_number": "919-790-7663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYNER",
"first_name": "MALKIA",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-05",
"last_updated": "2010-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "234038",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NC",
"license": "64167",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.