Active NPI
Catherine Jane Raymond, DO
- Student in an Organized Health Care Education/Training Program
- Warren, MI
National Provider Identifier
1235833286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 11885 E 12 Mile Rd Ste 300a
Warren, MI 48093-3467 - Phone
- (586) 582-6630
- Fax
- (686) 582-6631
- NPI assigned
- Mar 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
11885 E 12 Mile Rd Ste 300a
Warren, MI 48093-3467
Mailing address
2501 Troost Ave Unit 417
Kansas City, MO 64108-3494
Phone (616) 401-5909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230616002886 | MI | Order and Referring Only - Internal Medicine | 6406214857 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11885 E 12 Mile Rd
Suite 300a
Warren, MI 48093-3467
409 E 9 Mile Rd
Apt 304
Ferndale, MI 48220-3027
5360 17 Mile Rd NE
Cedar Springs, MI 49319-9511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679875200000",
"number": "1235833286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 TROOST AVE UNIT 417",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641083494",
"telephone_number": "616-401-5909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11885 E 12 MILE RD STE 300A",
"city": "WARREN",
"state": "MI",
"postal_code": "480933467",
"telephone_number": "586-582-6630",
"fax_number": "686-582-6631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMOND",
"first_name": "CATHERINE",
"middle_name": "JANE",
"name_prefix": "Miss",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-27",
"last_updated": "2023-03-27",
"certification_date": "2023-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.