Branden Wayne Raider, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

1159821 Issued in KY

Practice address

5913 Eldorado Ave
Louisville, KY 40291-1350

Phone

(859) 559-5194

NPI assigned

Jan 19, 2024

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1326809104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5913 ELDORADO AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402911350",
            "telephone_number": "859-559-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5913 ELDORADO AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402911350",
            "telephone_number": "859-559-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIDER",
        "first_name": "BRANDEN",
        "middle_name": "WAYNE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "KY",
            "license": "1159821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amit Rai, MD
• Erin L Raible-Wilson, PT, OCS
• Steven Raible, MD
• Tirzah Raible, MA/CCC-SLP
• Prachi Ashok Raichur, MD
• James D. Railey, M.D.
• Micaela Chayce Railey, MS, OTR/L
• Rainbow Medical Transportation LLC (Rainbow medical)
• Jon William Rainbow, MDIV, MA, MSW
• Sabrina Constance Rainey, M.D.

• Emergency Registered Nurse in Louisville, KY
• Providers in Louisville, KY by specialty
• Emergency Registered Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.