K Denise Rayburn, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

17497A Issued in ID

Practice address

800 Falls Ave
Suite 2
Twin Falls, ID 83301-3366

Phone

(208) 734-6091

NPI assigned

Jun 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Asthma & Allergy of Idaho

  • Nurse Practitioner
  • Twin Falls, ID
  • NPI 1265635171
  NPD (past)
• Asthma & Allergy of Idaho PLLC

  • Allergy Physician
  • Twin Falls, ID
  • NPI 1427138734
  NPD (past)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124224712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 FALLS AVE",
            "address_2": "SUITE 2",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013366",
            "telephone_number": "208-734-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FALLS AVE",
            "address_2": "SUITE 2",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013366",
            "telephone_number": "208-734-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYBURN",
        "first_name": "K",
        "middle_name": "DENISE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "17497A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEMPORARY NURSE PRAC LIC.",
            "identifier": "17497A",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colton Jason Randall, PA-C
• James Heng Rao, MD
• Gladys Marie Rasch, MPA-C
• Scott Rasmussen, LCSW
• Alisa Rawson, MS, RDN, LD
• Ted Rea, M.D.
• Ready 2 Hear Hearing Solutions LLC (Ready 2 Hear)
• Ready 2 Hear Idaho LLC (Ready 2 Hear)
• Ready for Change, Inc.
• Realcovery LLC

• Family Nurse Practitioner in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.