Individual provider Active NPI

Hannah Marie Rayba

  • Licensed Practical Nurse
  • Macomb, MI
National Provider Identifier
1407273972
Registry record updated Mar 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
4703109494 Issued in MI
Practice address
46595 Dunnellon Dr E
Macomb, MI 48044-3697
Phone
(586) 277-9457
Fax
(586) 690-8356
NPI assigned
Mar 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703109494 MI Primary

Addresses

Primary practice location

46595 Dunnellon Dr E
Macomb, MI 48044-3697

Mailing address

46595 Dunnellon Dr E
Macomb, MI 48044-3697
Phone (586) 277-9457

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

LicenseStateTypeSpecialty
4703109494MIMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1395532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395532800000",
    "number": "1407273972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46595 DUNNELLON DR E",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480443697",
            "telephone_number": "586-277-9457",
            "fax_number": "586-690-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46595 DUNNELLON DR E",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480443697",
            "telephone_number": "586-277-9457",
            "fax_number": "586-690-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYBA",
        "first_name": "HANNAH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-23",
        "last_updated": "2014-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703109494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2014; 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.