Jeffery Raudabaugh, BSN-RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

RN261645 Issued in OH

Practice address

827 N Main St
Marion, OH 43302-1736

Phone

(740) 914-5000

Fax

(740) 914-5005

NPI assigned

Oct 28, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1346840535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 N MAIN ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433021736",
            "telephone_number": "740-914-5000",
            "fax_number": "740-914-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 N MAIN ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433021736",
            "telephone_number": "740-914-5000",
            "fax_number": "740-914-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUDABAUGH",
        "first_name": "JEFFERY",
        "credential": "BSN-RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OH",
            "license": "RN261645",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "RN261645",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "RN261645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dayonerecovery.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "827 N Main St",
            "city": "Marion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433021736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Diane Ramey, LCDC III
• Carolina Ramirez, ED.S, LSP
• Ainyjjah Randle
• Mohini S Rao, MD
• Mindy Rasey
• Sofija Raudins
• Srinivas Prasad Ravi, M.D.
• Elisha A Ream
• Seth Norman Ream
• Sudesh S Reddy, MD INC

• Addiction (Substance Use Disorder) Registered Nurse in Marion, OH
• Providers in Marion, OH by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.