Jaclene Raymond

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

062520-23 Issued in NH

Practice address

160 S River Rd Ste 100
Bedford, NH 03110

Phone

(603) 647-0494

Fax

(603) 647-0493

NPI assigned

Oct 18, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

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 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Amoskeag Health

  • Federally Qualified Health Center (FQHC)
  • Manchester, NH
  • NPI 1083617013
  Medicare reassignment
• Bedford Women'S Care Associates PA

  • Obstetrics & Gynecology Physician
  • Bedford, NH
  • NPI 1295756476
  NPD (past)
• Community Action Program Belknap-Merrimack Counties, Inc.

  • Non-Surgical Family Planning Clinic/Center
  • Laconia, NH
  • NPI 1821266578
  NPD (past)

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

{
    "created_epoch": "1255824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1255667796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 S RIVER RD STE 101",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106927",
            "telephone_number": "603-647-0494",
            "fax_number": "603-647-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S RIVER RD STE 100",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "603-647-0494",
            "fax_number": "603-647-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "JACLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-18",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NH",
            "license": "062520-21",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2262268",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NH",
            "license": "062520-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maribeth Rose Rathburn, MPT
• Murali R Ravel, DMD
• Melanie Ravesi, MS, CCC/SLP
• Ray Humphrey D.C. PLLC
• Brittany Lynn Raymond, APRN
• Rd to Wellness LLC
• Rebekah Turner Reddel Aprn, LLC
• Rebekah Turner Reddel, ARNP
• Regional Home Care Inc
• Renegade Movement and Performance, LLC

• Women's Health Nurse Practitioner in Bedford, NH
• Providers in Bedford, NH by specialty
• Women's Health Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.