Organization Active NPI

Rae of Hope, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kilgore, TX
National Provider Identifier
1487482220
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RAE OF HOPE, PLLC
Practice address
1100 Stone Rd Ste 246
Kilgore, TX 75662-5495
Phone
(903) 476-3585
Fax
(903) 213-9171
NPI assigned
Jul 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Deanna Limburg, APRNNPI 1063053239
Title
Pmhnp
Phone
(903) 476-3585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1100 Stone Rd Ste 246
Kilgore, TX 75662-5495

Mailing address

1100 Stone Rd Ste 246
Kilgore, TX 75662-5495
Phone (903) 476-3585

Other names 1

  • Rae of Hope Doing business as

National Provider Directory

National Provider Directory

Locations

1100 Stone Rd
Ste 246
Kilgore, TX 75662
Phone (903) 476-3585

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1487482220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 STONE RD STE 246",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756625495",
            "telephone_number": "903-476-3585",
            "fax_number": "903-213-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 STONE RD STE 246",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756625495",
            "telephone_number": "903-476-3585",
            "fax_number": "903-213-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAE OF HOPE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "LIMBURG",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "903-476-3585",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rae of Hope",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kilgore, TX

Sources for this page

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