Marcy Lynn Raybourn, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

000199 Issued in AZ

Practice address

11225 N 28TH Dr Ste D115B
Phoenix, AZ 85029-5609

Phone

(623) 551-0288

NPI assigned

Jan 6, 2025

Last updated

Jan 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1023827714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 W CHARTER OAK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292980",
            "telephone_number": "602-551-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11225 N 28TH DR STE D115B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295609",
            "telephone_number": "623-551-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYBOURN",
        "first_name": "MARCY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "000199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teneesha Michelle Ray
• Teresa Ray, OTR/L
• Shayan Rayani
• Jessica Rose Raybe, PT, DPT
• Anna Raybould
• Joshua Robert Rayburn, MD
• Susan C Rayeski, D.C.
• Benjamin Allen Nathan Rayhorn, PA-C
• Dustin James Rayhorn, M.D.
• Rayiom Health and Wellness, Inc (Rayiom Health and Wellness, Inc HIV/AIDS Outpatient Clinic)

• Acupuncturist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.