Raven Guy, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

304095 Issued in NY

Practice address

530 Mastic Rd
Mastic Beach, NY 11951-1012

Phone

(631) 433-0598

NPI assigned

Jun 21, 2012

Sex

Female

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

State licenses

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1386907566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PROSPECT AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117172423",
            "telephone_number": "631-398-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 MASTIC RD",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119511012",
            "telephone_number": "631-433-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUY",
        "first_name": "RAVEN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "304095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Golembeski, LPN
• Holly Lee Gordon, LCSW
• Green Ride Taxi Inc.
• Megan Denise Groening
• Guided Counseling Services LCSW PLLC
• Malgorzata Haluda, OTR/L
• Tasharni Harris, LCSW
• Tifannie Henry, LPN
• Deborah F Hufnagel, R.N.
• Kiran X Jalal, RN

• Licensed Practical Nurse in Mastic Beach, NY
• Providers in Mastic Beach, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.