Individual provider Active NPI

Raine Elakandan, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gastonia, NC
National Provider Identifier
1053249235
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2025026595 Issued in NC
Practice address
1530 Union Rd Ste a
Gastonia, NC 28054-2201
Phone
(704) 867-6188
Fax
(704) 866-4437
NPI assigned
May 11, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2025026595 NC Primary
Nurse Practitioner 363L00000X 104024 WV
Nurse Practitioner 363L00000X 5024849 NC

Addresses

Primary practice location

1530 Union Rd Ste a
Gastonia, NC 28054-2201

Mailing address

1530 Union Rd Ste a
Gastonia, NC 28054-2201
Phone (704) 867-6188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
104024WVMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1053249235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 UNION RD STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542201",
            "telephone_number": "704-867-6188",
            "fax_number": "704-866-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 UNION RD STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542201",
            "telephone_number": "704-867-6188",
            "fax_number": "704-866-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAKANDAN",
        "first_name": "RAINE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-08-30",
        "certification_date": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "2025026595",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "104024",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5024849",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.