Active NPI
Diane L. Herlihy-Rayla, CNM
- Advanced Practice Midwife
- Worcester, MA
National Provider Identifier
1336125525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 128722
- Practice address
- 123 Summer St
Worcester, MA 01608-1312 - Phone
- (508) 368-3110
- Fax
- (508) 368-3113
- NPI assigned
- Dec 20, 2005
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 128722 | MA | Primary |
Addresses
Primary practice location
123 Summer St
Worcester, MA 01608-1312
Mailing address
630 Plantation St
Worcester, MA 01605-2038
Phone (508) 368-3110
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61225 | Other | FALLON COMMUNITY HEALTH P | |
| 042472266 | Other | PRIVATE HEALTHCARE SYSTEM | |
| 042472266 | Other | THREE RIVERS | |
| CN0159 | Other | BLUE SHIELD INDEMNITY | |
| 0380920 | Medicaid | MA | |
| 2731108 | Other | CIGNA HEALTH PLAN | |
| 420000550 | Other | RAILROAD MEDICARE | |
| 43919 | Other | CHILDRENS MEDICAL SECURIT | |
| 43919 | Other | HEALTHY START | |
| CN0159 | Other | BLUE CARE ELECT | |
| 7806647 | Other | AETNA/US HEALTHCARE | |
| AA3614 | Other | HARVARD PILGRIM HEALTHCAR | |
| CN0159 | Other | BLUE SHIELD HMO BLUE | |
| RN0016 | Other | MEDICARE B | |
| 0380920 | Other | MEDICAID/WELFARE |
Other names 1
- Diane L. Herlihy Rayla
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Worcester, MA
- NPI 1295827962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336521600000",
"number": "1336125525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 PLANTATION ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052038",
"telephone_number": "508-368-3110",
"fax_number": "508-368-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 SUMMER ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081312",
"telephone_number": "508-368-3110",
"fax_number": "508-368-3113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERLIHY-RAYLA",
"first_name": "DIANE",
"middle_name": "L.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-20",
"last_updated": "2012-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MA",
"license": "128722",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH P",
"identifier": "61225",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD INDEMNITY",
"identifier": "CN0159",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0380920",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH PLAN",
"identifier": "2731108",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "420000550",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDRENS MEDICAL SECURIT",
"identifier": "43919",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY START",
"identifier": "43919",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE ELECT",
"identifier": "CN0159",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/US HEALTHCARE",
"identifier": "7806647",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "AA3614",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD HMO BLUE",
"identifier": "CN0159",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B",
"identifier": "RN0016",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID/WELFARE",
"identifier": "0380920",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIANE",
"last_name": "RAYLA",
"middle_name": "L. HERLIHY",
"credential": "CNM",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.