Nancy Rayne, MS, PMH NP, CNS, BC

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

338078-1 Issued in NY

Practice address

7325 State Route 5
Clinton, NY 13323

Phone

(315) 859-1973

NPI assigned

Nov 15, 2006

Last updated

Jul 10, 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 3

Addresses

Other names 1

• Nancy L. Broad Rayne Professional name

Medicare fee-for-service enrollment

Enrolled in NY2 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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Lora a Abraham LCSW PCGroup PAC ID 8325418064, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lora a. Abraham, LCSW, P.C.

  dba Clinton Therapy and Testing Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton, NY
  • NPI 1316662281
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1215009105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 STATE ROUTE 5",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133233435",
            "telephone_number": "315-859-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 STATE ROUTE 5",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "13323",
            "telephone_number": "315-859-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNE",
        "first_name": "NANCY",
        "credential": "MS, PMH NP, CNS, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402381",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "F402381-1",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "338078-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "RAYNE",
            "middle_name": "L. BROAD",
            "credential": "PMH NP, CNS, BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Erica Puleo
• Laura Purdy
• Ahmed Yousry Radwan, PT
• Mary Beth Rahn, LCSW-R
• Amy Lynn Randall
• Kyra Raysor
• Christina Reap, LMSW
• Mary Reilly Mathews, LCSWR
• Miguel S Riascos
• Taylor Ricci, MA CCC-SLP

• Psychiatric/Mental Health Registered Nurse in Clinton, NY
• Providers in Clinton, NY by specialty
• Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.
• 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.

Verify at the official NPI Registry.