Tara Rayvonti, CPSS. B.S. FPSS
Individual provider Active NPI Case Manager/Care Coordinator · Paul, ID
NPI 1124872072 · NPPES record last updated Apr 16, 2024
Key facts
- NPI
- 1124872072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- PO Box 754
Paul, ID 83347-0754 - Phone
- (208) 878-8887
- Fax
- (208) 878-6888
- NPI assigned
- Apr 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Together We Thrive LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist |
175T00000X | |||
| Case Manager/Care Coordinator |
171M00000X | Yes |
Addresses
Primary practice location
PO Box 754
Paul, ID 83347-0754
Mailing address
PO Box 754
Paul, ID 83347-0754
Phone (208) 878-8887
Other providers in Paul, ID
- Bryce Christofer Killian
- Jerad H Knight
- Shanna L Lindsay
- Nikki Nelson Sayer
- Summit Dental Care Paul, PLLC
- Together We Thrive LLC
- West Dawn LLC
- West End Fire Protection Dist
All providers in Paul, ID · Case Manager/Care Coordinator in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.