Individual provider Active NPI

Todd David Rainsdon, L.M.S.W

  • Social Worker
  • Nampa, ID
National Provider Identifier
1376931543
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-34291 Issued in ID
Practice address
915 Parkcentre Way
Suite 7
Nampa, ID 83651-1745
Phone
(208) 442-7791
Fax
(208) 442-7792
NPI assigned
Dec 22, 2014
Last updated
Dec 22, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-34291 ID Primary

Addresses

Primary practice location

915 Parkcentre Way
Suite 7
Nampa, ID 83651-1745

Mailing address

915 Parkcentre Way
Suite 7
Nampa, ID 83651-1745
Phone (208) 442-7791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171018001897 ID Practitioner - Clinical Social Worker 4183990161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerpointe, Inc.Group PAC ID 4587833215, 3 clinicians

Practice addresses (Care Compare)

915 Parkcentre Way
Suite 7
Nampa, ID 83651-1748
Phone (208) 442-7791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-34291IDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centerpointe, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1376931543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 PARKCENTRE WAY",
            "address_2": "SUITE 7",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511745",
            "telephone_number": "208-442-7791",
            "fax_number": "208-442-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 PARKCENTRE WAY",
            "address_2": "SUITE 7",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511745",
            "telephone_number": "208-442-7791",
            "fax_number": "208-442-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINSDON",
        "first_name": "TODD",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "L.M.S.W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-34291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.