Active NPI
Tanya Jane Raef, APRN, DNP
- Acute Care Nurse Practitioner
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 4026333
- Practice address
- 800 Rose St
Lexington, KY 40536-8679 - Phone
- (859) 323-5956
- Fax
- (859) 323-1080
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 0024177701 | VA | |
| Acute Care Nurse Practitioner | 363LA2100X | APN13911 | TN | |
| Acute Care Nurse Practitioner | 363LA2100X | 4026333 | KY | Primary |
Addresses
Primary practice location
800 Rose St
Lexington, KY 40536-8679
Mailing address
PO Box 1430
Harrisonburg, VA 22803-1430
Phone (540) 689-5600
Other practice location 1
2006 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 689-5600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100158680 | Medicaid | KY | |
| 4352409 | Other | TN | BCBS |
| 1514749 | Medicaid | TN |
Other names 1
- Tanya Jane Jacob
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Rose St
Lexington, KY 40536-0001
Phone (859) 257-8562
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN13911 | TN | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| University of Kentucky | Current | Accepting new patients | |
| Sentara Medical Group | Current | Accepting new patients | |
| RMH Medical Group LLC | Current | Accepting new patients | |
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| RMH Medical Group LLC | Current | Accepting new patients | |
| Center for Surgical Sciences & Trauma, Inc | Past | Accepting new patients | |
| Cookeville Regional Medical Group, Inc | Past | Accepting new patients | |
| Cookeville Regional Medical Center | Past | Accepting new patients | |
| Diabetes & Geriatrics Specialist LLC | Past | Accepting new patients |
Locations
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
2006 Health Campus Dr
Ste 200
Rockingham, VA 22801
Phone (540) 689-5555
2006 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-5800
400 Sentara Cir
Ste 201A
Williamsburg, VA 23188
Phone (757) 984-3975
Interoperability endpoints
- traef511428@direct.sentara.net
- https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
dba Sentara RMH Medical Group
- General Practice Physician
- Rockingham, VA
- NPI 1669844908
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
dba Cool Springs Internal Medicine and Pediatrics
- Internal Medicine Physician
- Brentwood, TN
- NPI 1659090298
-
- Customized Equipment (DME)
- Harrisonburg, VA
- NPI 1043238967
-
- Internal Medicine Physician
- Knoxville, TN
- NPI 1548349186
-
dba Center for Surgical Sciences & Trauma
- Surgery Physician
- Indianapolis, IN
- NPI 1225063167
-
dba Cookeville Regional Physicians
- Hospitalist Physician
- Cookeville, TN
- NPI 1023397031
-
- Multi-Specialty Clinic/Center
- Cookeville, TN
- NPI 1649202102
-
- Medical Specialty Clinic/Center
- Cookeville, TN
- NPI 1235271420
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1518911338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1205859451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1430",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "228031430",
"telephone_number": "540-689-5600",
"fax_number": "757-579-8532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROSE ST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405368679",
"telephone_number": "859-323-5956",
"fax_number": "859-323-1080"
}
],
"practiceLocations": [
{
"address_1": "2006 Health Campus Dr",
"address_purpose": "LOCATION",
"city": "Rockingham",
"state": "VA",
"postal_code": "228018679",
"country_code": "US",
"telephone_number": "540-689-5600",
"fax_number": "757-579-8532",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAEF",
"first_name": "TANYA",
"middle_name": "JANE",
"credential": "APRN, DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "VA",
"license": "0024177701",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TN",
"license": "APN13911",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "KY",
"license": "4026333",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100158680",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4352409",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1514749",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TANYA",
"last_name": "JACOB",
"middle_name": "JANE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.