Tara Marie Rainey, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-14057 Issued in NC

Practice address

211 Milton Brown Heirs Rd
Boone, NC 28607-8708

Phone

(512) 948-1544

NPI assigned

Jan 2, 2009

Last updated

Oct 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Physiatry Consultants of NC PLLC

  • Physical Medicine & Rehabilitation Physician
  • Morton Grove, IL
  • NPI 1437736881

  NC

  Medicare reassignment
• Digestive Health Associates of Texas, P.a.

  • Gastroenterology Physician
  • Dallas, TX
  • NPI 1831158310
  NPD (past)
• Hope Speaks, PLLC

  • Psychiatry Physician
  • Richardson, TX
  • NPI 1326428368
  NPD (past)
• Minirth Clinic PA

  • Psychiatry Physician
  • Richardson, TX
  • NPI 1205962727
  NPD (past)

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728777600000",
    "number": "1710123336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 IVY RIDGE RD",
            "city": "DEEP GAP",
            "state": "NC",
            "postal_code": "286189055",
            "telephone_number": "512-948-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MILTON BROWN HEIRS RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286078708",
            "telephone_number": "512-948-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINEY",
        "first_name": "TARA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-02",
        "last_updated": "2024-10-13",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04961",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Quattlebaum, MD
• Lauren R Queen, OTR/L
• R. Bruce Jackson II, M.D., P.a.
• R. Lee Warren, DDS and Eric J. Grimes, DDS, PLLC
• R. Lee Warren, DDS, PA
• Sarah Branum Ramsey, M.A., CCC-SLP
• Paige Williams Randall, M.S. CCC-SLP
• Billie Jo Rapol
• Alan Frank Rasmussen, LCMHCA
• Paul Alan Rauscher, LCAS

• Physician Assistant in Boone, NC
• Providers in Boone, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.