Rayna Mollie McCann, MS, RD, CSO, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86043472

Practice address

12 Babylon St
Holtsville, NY 11742-1203

Phone

(516) 993-8183

NPI assigned

Jun 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1144896002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BABYLON ST",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117421203",
            "telephone_number": "516-993-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BABYLON ST",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117421203",
            "telephone_number": "516-993-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "RAYNA",
        "middle_name": "MOLLIE",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, CSO, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86043472",
            "primary": true
        },
        {
            "code": "133VN1301X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": null,
            "license": "86043472",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martino Physical Therapy, PC
• Andrew F Martino, PT
• Sharon A Martino, PHD/PT
• Tania Martins-Balsamo, REGISTERED DIETITIAN
• Maryhaven Center of Hope Inc.
• Annmarie McCord, RN
• Jocelyn Janet McGerty, LPN
• Janet Toca McMillan, RN
• Nancy Dyan Mendoza, MSW
• Michelle Dianne Mermigas, LPN

• Registered Dietitian in Holtsville, NY
• Providers in Holtsville, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.