Larry Alan Rayburn, M.A.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0067152 Issued in NM

Practice address

1503 Llano St Ste a
Santa Fe, NM 87505-2000

Phone

(505) 820-2921

NPI assigned

Nov 30, 2006

Sex

Male

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447328406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 SANTA CRUZ DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053861",
            "telephone_number": "505-988-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 LLANO ST STE A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052000",
            "telephone_number": "505-820-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYBURN",
        "first_name": "LARRY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "0067152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Alan Rasmussen, O.D.
• Annie J Rasquin, LISW
• Daina Rasutis
• Mary C Ray, LADAC
• Erin Bonham Rayburn, PA-C
• Raymond Singer, PH.D., P.a.
• Randi Raymond, IMD
• Anna Rayne-Levi, LPCC
• Amina Re, LMHC
• Jacqueline Kinley Rea, PT, DPT

• Counselor in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.