Active NPI
Jane Raney, CNP
- Nurse Practitioner
- Carlsbad, NM
National Provider Identifier
1306952973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R21628
- Practice address
- 2420 W Pierce St
Ste 205
Carlsbad, NM 88220-3543 - Phone
- (505) 887-0530
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R21628 | NM | Primary |
Addresses
Primary practice location
2420 W Pierce St
Ste 205
Carlsbad, NM 88220-3543
Mailing address
2420 W Pierce St
Ste 200B
Carlsbad, NM 88220-3543
Phone (575) 628-0926
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74375881 | Medicaid | NM | |
| 00NM006463 | Other | NM | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R21628 | NM | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206489600000",
"number": "1306952973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2420 W PIERCE ST",
"address_2": "STE 200B",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882203543",
"telephone_number": "575-628-0926",
"fax_number": "575-628-0493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 W PIERCE ST",
"address_2": "STE 205",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882203543",
"telephone_number": "505-887-0530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANEY",
"first_name": "JANE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2008-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "R21628",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74375881",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00NM006463",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.