Keri Lynn Raymond, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1423 W Baddour Pkwy
Lebanon, TN 37087-3061

Phone

(615) 257-0900

Fax

(615) 443-1444

NPI assigned

Aug 6, 2012

Last updated

Oct 25, 2018By 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 names 1

• Keri Hollis Former name

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Middle Tennessee Emergency Physicians PC

  • Emergency Medicine Physician
  • Nashville, TN
  • NPI 1194758979
  Medicare reassignment
• T Scott Baker MD PC

  dba Tennessee Physical Medicine and Pain Management

  • Physical Medicine & Rehabilitation Physician
  • Lebanon, TN
  • NPI 1023109105
  NPD (past)

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1154678449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1165",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370881165",
            "telephone_number": "615-257-0900",
            "fax_number": "615-443-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 W BADDOUR PKWY",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873061",
            "telephone_number": "615-257-0900",
            "fax_number": "615-443-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "KERI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERI",
            "last_name": "HOLLIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Radiology & Nuclear Medicine Associates
• Rai Care Centers of Lebanon I, LLC (Rai-Main Street-Lebanon)
• Mario Ramzy, PA-C
• Rachel Rannefors
• Sarah June Ravesloot
• Chelsea Reddick, BCBA, LBA
• James M Reed, DO
• Tamora Reedus, OTR/L
• Jennifer Michelle Reeves, LPC-MHSP
• Regional ENT Associates, P.C.

• Physician Assistant in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.