Individual provider Active NPI

Carolyn W Rayner, RN, MPH, CHC

  • Registered Nurse
  • Oak Forest, IL
National Provider Identifier
1578099644
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041-141830 Issued in IL
Practice address
16459 Lockridge Ave
Oak Forest, IL 60452-4138
Phone
(708) 790-5735
NPI assigned
May 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041-141830 IL Primary

Addresses

Primary practice location

16459 Lockridge Ave
Oak Forest, IL 60452-4138

Mailing address

16459 Lockridge Ave
Partner4Health, LLC
Oak Forest, IL 60452-4138
Phone (708) 790-5735

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041-141830ILMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1578099644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16459 LOCKRIDGE AVE",
            "address_2": "PARTNER4HEALTH, LLC",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604524138",
            "telephone_number": "708-790-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16459 LOCKRIDGE AVE",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604524138",
            "telephone_number": "708-790-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNER",
        "first_name": "CAROLYN",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "RN, MPH, CHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041-141830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.