Individual provider Active NPI

Cameron Marie Rai, CPM

  • Midwife
  • Pulaski, TN
National Provider Identifier
1407523699
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
CPM0000000104 Issued in TN
Practice address
621 Sumpter St
Pulaski, TN 38478-2311
Phone
(931) 371-3074
Fax
(931) 903-1219
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 210200008 TN
Midwife 176B00000X CPM0000000104 TN Primary

Addresses

Primary practice location

621 Sumpter St
Pulaski, TN 38478-2311

Mailing address

621 Sumpter St
Pulaski, TN 38478-2311
Phone (931) 292-9118

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
210200008TNMDMidwife
CPM0000000104TNMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1407523699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 SUMPTER ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384782311",
            "telephone_number": "931-292-9118",
            "fax_number": "931-903-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 SUMPTER ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384782311",
            "telephone_number": "931-371-3074",
            "fax_number": "931-903-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAI",
        "first_name": "CAMERON",
        "middle_name": "MARIE",
        "credential": "CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TN",
            "license": "210200008",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TN",
            "license": "CPM0000000104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.