Rainya Jade Strack

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

059237-2 Issued in MN

Practice address

3700 W Division St Ste 105
Saint Cloud, MN 56301-4031

Phone

(320) 423-1652

NPI assigned

Feb 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rainya Jade Johnson Former name

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": "1518307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518307200000",
    "number": "1114426657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 5TH ST SW",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563451716",
            "telephone_number": "320-423-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W DIVISION ST STE 105",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014031",
            "telephone_number": "320-423-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRACK",
        "first_name": "RAINYA",
        "middle_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-11",
        "last_updated": "2018-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "059237-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAINYA",
            "last_name": "JOHNSON",
            "middle_name": "JADE",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sydney Stork, MS, CGC
• Haleigh Storkel, RD
• Tanner James Storrs, LICSW
• Hannah Storz
• Kirsten Amber Stoutland, R.D.
• Katheryn Ann Strandberg, PT
• Morgan Marie Strandberg
• Barbara L Strandemo, NP
• Brittany Ann Stredelman
• Ashley Nicole Streed

• Licensed Practical Nurse in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Licensed Practical Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2018; 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.