Individual provider Active NPI

Amie Marie Raines, RN

  • Registered Nurse
  • Beavercreek, OH
National Provider Identifier
1073114989
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
324628 Issued in OH
Practice address
70 Birch Aly Ste 240
Beavercreek, OH 45440-1477
Phone
(937) 672-0892
NPI assigned
Nov 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 324628 OH Primary

Addresses

Primary practice location

70 Birch Aly Ste 240
Beavercreek, OH 45440-1477

Mailing address

1012 Lofton Dr
Englewood, OH 45315-8741
Phone (937) 381-7293

Other names 1

  • Amie Marie Knouff Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amie.raines@concertohealth.com

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

LicenseStateTypeSpecialty
324628OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1073114989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 LOFTON DR",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453158741",
            "telephone_number": "937-381-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 BIRCH ALY STE 240",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454401477",
            "telephone_number": "937-672-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINES",
        "first_name": "AMIE",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "324628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amie.raines@concertohealth.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "address_1": "1012 Lofton Dr",
            "city": "Englewood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453158741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMIE",
            "last_name": "KNOUFF",
            "middle_name": "MARIE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.