Active NPI
Nate Rayburn
- Counselor
- Overland Park, KS
National Provider Identifier
1356703219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2014032312
- Practice address
- 6308 W 101St PL
Overland Park, KS 66212-1702 - Phone
- (918) 640-6784
- NPI assigned
- Mar 22, 2016
- Last updated
- Sep 13, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2014032312 | MO | Primary |
Addresses
Primary practice location
6308 W 101St PL
Overland Park, KS 66212-1702
Mailing address
8701 Buckingham LN Apt 8
Kansas City, MO 64138
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014032312 | MO | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The 510 Group | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505260800000",
"number": "1356703219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8701 BUCKINGHAM LN APT 8",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6308 W 101ST PL",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662121702",
"telephone_number": "918-640-6784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYBURN",
"first_name": "NATE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-22",
"last_updated": "2017-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "2014032312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.