Tanisha Jeneice Rayson-Henry, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209022556 Issued in IL

Practice address

4051 N Lincoln Ave
Chicago, IL 60618-3009

Phone

(773) 871-6516

NPI assigned

Jan 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tanisha Jeneice Rayson Former name

Medicare fee-for-service enrollment

Enrolled in IL

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tanisha.raysonhenry.p1@direct.gefcc.nextgenshare.com

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

• Minuteclinic Diagnostic of Illinois PLLC

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  • Mokena, IL
  • NPI 1356485809
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IL

  Medicare reassignment
• Better Days Wellness Clinic LLC

  • Family Nurse Practitioner
  • Schaumburg, IL
  • NPI 1407567811
  NPD

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1720676760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4051 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183009",
            "telephone_number": "738-716-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183009",
            "telephone_number": "773-871-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYSON-HENRY",
        "first_name": "TANISHA",
        "middle_name": "JENEICE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209022556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANISHA",
            "last_name": "RAYSON",
            "middle_name": "JENEICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Latashia Nicole Raymond, PSY.D.
• Ivan Rayner III, DC
• Suzan L Rayner, M.D.
• Andrea Nichole Raynor, MS, RDN. LDN
• Rayo Counseling and Community Co-Op (Fractal House)
• Connie Rayyan
• Hasan S Raza, MD
• Manizeh Fatima Raza, PSYD
• Yasmin Raza, MD
• Nico Madjus Razalo

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.