Michelle Jeanette Rayburn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3673 Issued in OK

Practice address

5015 N Pennsylvania Ave
Suite 200
Oklahoma City, OK 73112-8891

Phone

(405) 202-1331

Fax

(405) 796-7260

NPI assigned

Nov 22, 2008

Last updated

Sep 8, 2011By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Michelle Rayburn, LCSW, PLLC

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1538463468
  Authorized official Same address or phone
• Oklahoma Brain Tumor Foundation

  • Case Management Agency
  • Oklahoma City, OK
  • NPI 1811202955
  NPD (past)

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

{
    "created_epoch": "1227312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1225283989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5022",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730835022",
            "telephone_number": "405-202-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 N PENNSYLVANIA AVE",
            "address_2": "SUITE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128891",
            "telephone_number": "405-202-1331",
            "fax_number": "405-796-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYBURN",
        "first_name": "MICHELLE",
        "middle_name": "JEANETTE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-22",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "3673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tnya S Ray
• William J Ray, LPC
• Ghazi M Rayan, M.D.
• Gowthami Rayani, D.D.S
• Adriana Rayas
• Jason Bennell Rayfield
• Orlando Glenn Rayfield, MBA
• Richie Rayfield
• Evelyn Karina Raygoza, CM1
• Raymond a. Cohlmia, DDS, PLLC

• Clinical Social Worker in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.