Rayne Kennelly, NPP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN02051 Issued in RI

Practice address

595 Putnam Pike Lowr Level
Greenville, RI 02828-2145

Phone

(401) 264-8941

Fax

(401) 340-1957

NPI assigned

Apr 14, 2014

Reactivated

Jul 22, 2025

Last updated

Jun 29, 2026By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 22, 2024 through Oct 22, 2026

Medicare enrollment (NPD)

Enrolled

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.

• Cornerstone Psychiatric Services Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, RI
  • NPI 1568291896
  NPD Authorized official

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1225457666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 PUTNAM PIKE LOWR LEVEL",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028282145",
            "telephone_number": "401-264-8941",
            "fax_number": "401-340-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 PUTNAM PIKE LOWR LEVEL",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028282145",
            "telephone_number": "401-264-8941",
            "fax_number": "401-340-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNELLY",
        "first_name": "RAYNE",
        "credential": "NPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "deactivation_date": "2025-06-10",
        "reactivation_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "NPP37862",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN02051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Jennings, O.D.
• Noelle Johnston
• Julia Kach
• Amanda Keegan, PT
• Ellen A Kellner, MSSW
• Gary G King, DO
• Allison Kinoian, M.A, BCBA, LBA
• Jacob Kleiman, DDS
• Scott B. Klimaj, D.M.D.
• Kayla Lance, OTR/L

• Psychiatric/Mental Health Nurse Practitioner in Greenville, RI
• Providers in Greenville, RI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.