Individual provider Active NPI

Tanya Jane Raef, APRN, DNP

  • Acute Care Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1205859451
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4026333 Issued in KY
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

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100158680MedicaidKY
4352409OtherTNBCBS
1514749MedicaidTN

Other names 1

  • Tanya Jane Jacob Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA, KY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20090804000869 TN Practitioner - Nurse Practitioner 9537114756 Reassigns benefits to 1 organization
I20190815000483 VA Practitioner - Nurse Practitioner 9537114756 Reassigns benefits to 2 organizations
I20241209002753 KY Practitioner - Nurse Practitioner 9537114756 Reassigns benefits to 1 organization

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
University of KentuckyGroup PAC ID 3072425289, 778 clinicians

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

LicenseStateTypeSpecialty
APN13911TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Jul 1, 2017 Accepting new patients
University of Kentucky CurrentSince Nov 27, 2024 Accepting new patients
Sentara Medical Group CurrentSince Jul 12, 2023 Accepting new patients
RMH Medical Group LLC CurrentSince Jul 22, 2019 Accepting new patients
Summit Medical Group, PLLC CurrentSince Jul 1, 2017 Accepting new patients
RMH Medical Group LLC CurrentSince Jul 22, 2019 Accepting new patients
Center for Surgical Sciences & Trauma, Inc Past Accepting new patients
Cookeville Regional Medical Group, Inc PastSince Apr 8, 2019 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

  • Direct secure messaging: traef511428@direct.sentara.net
  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.