Active NPI
Nicheyta Raino
- Case Manager/Care Coordinator
- Little Rock, AR
National Provider Identifier
1700225612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 13310 Kanis Rd
Little Rock, AR 72211-4008 - Phone
- (501) 228-0063
- NPI assigned
- Jun 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
13310 Kanis Rd
Little Rock, AR 72211-4008
Mailing address
13310 Kanis Rd
Little Rock, AR 72211-4008
Phone (501) 228-0063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201231706 | Medicaid | AR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1700225612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13310 KANIS RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114008",
"telephone_number": "501-228-0063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13310 KANIS RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114008",
"telephone_number": "501-228-0063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINO",
"first_name": "NICHEYTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-24",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201231706",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.