Active NPI
Janine Marie Raby, RN
- Registered Nurse
- Danvers, MA
National Provider Identifier
1083864581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 195120
- Practice address
- 15 West St
Danvers, MA 01923-1303 - Phone
- (978) 774-5453
- NPI assigned
- Sep 22, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 195120 | MA | Primary |
Addresses
Primary practice location
15 West St
Danvers, MA 01923-1303
Mailing address
15 West St
Danvers, MA 01923-1303
Phone (978) 774-5453
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0717975 | Other | MA | MASS HEALTH PROVIDER NUMBER |
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 |
|---|---|---|---|
| 195120 | MA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222041600000",
"number": "1083864581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 WEST ST",
"city": "DANVERS",
"state": "MA",
"postal_code": "019231303",
"telephone_number": "978-774-5453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 WEST ST",
"city": "DANVERS",
"state": "MA",
"postal_code": "019231303",
"telephone_number": "978-774-5453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABY",
"first_name": "JANINE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-22",
"last_updated": "2008-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "195120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS HEALTH PROVIDER NUMBER",
"identifier": "0717975",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.