Individual provider Active NPI

Clinton Rayhill, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1700330008
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3010286 Issued in KY
Practice address
13125 Eastpoint Park Blvd Ste 105
Louisville, KY 40223-3169
Phone
(502) 208-1330
Fax
(502) 208-1440
NPI assigned
Aug 4, 2016
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3010286 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3010286 KY Primary

Addresses

Primary practice location

13125 Eastpoint Park Blvd Ste 105
Louisville, KY 40223-3169

Mailing address

13125 Eastpoint Park Blvd Ste 105
Louisville, KY 40223-3169
Phone (502) 208-1330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170112001944 KY Practitioner - Nurse Practitioner 8123300837 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13125 Eastpoint Park Blvd
Suite 105
Louisville, KY 40223-3169
Phone (502) 208-1330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3010286KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Wellness Nurse Practitioner CurrentSince Jan 1, 2025 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Nov 6, 2024 Accepting new patients
Louisville Behavioral Health Systems PLLC Psychiatric/Mental Health CurrentSince Jul 23, 2021 Accepting new patients
Lyles Chiropractic PLLC CurrentSince Jan 19, 2025 Accepting new patients
Amin's Family Practice Associates , PSC CurrentSince Dec 1, 2016 Accepting new patients
Hagan Health LLC Psychiatric/Mental Health CurrentSince Nov 15, 2019 Accepting new patients
Dr Charles Bensenhaver III LLC CurrentSince Jan 31, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

13125 Eastpoint Park Blvd
Ste 105
Louisville, KY 40223
Phone (502) 208-1330

1505 S 7th St
Louisville, KY 40208
Phone (502) 637-1005

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

3430 Newburg Rd
Ste 210
Louisville, KY 40218
Phone (502) 225-4900

4010 DuPont Cir
Ste 202
Louisville, KY 40207
Phone (502) 326-3011

7926 Preston Hwy
Ste 103
Louisville, KY 40219
Phone (502) 309-9811

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1700330008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13125 EASTPOINT PARK BLVD STE 105",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233169",
            "telephone_number": "502-208-1330",
            "fax_number": "502-208-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13125 EASTPOINT PARK BLVD STE 105",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233169",
            "telephone_number": "502-208-1330",
            "fax_number": "502-208-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYHILL",
        "first_name": "CLINTON",
        "credential": "PMHNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-04",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3010286",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3010286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.