Caroline Phillips Rainey, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

20603 Issued in TN

Practice address

16 Medical Center Dr
Monroeville, AL 36460-3036

Phone

(251) 575-3266

Fax

(251) 575-3262

NPI assigned

Oct 26, 2015

Last updated

Apr 13, 2018By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Monroe County Health Care Authority

  dba MCH Monroeville Medical Clinic

  • Family Medicine Physician
  • Monroeville, AL
  • NPI 1992178552

  Pediatrics

  Medicare reassignment NPD
• 604 Medical Center PC

  dba Monroeville Medical Clinic

  • Clinic/Center
  • Monroeville, AL
  • NPI 1235175266
  NPD
• Monroe County Health Care Authority

  dba Monroe County Hospital Board

  • Critical Access Hospital
  • Monroeville, AL
  • NPI 1457392904
  NPD
• Monroe County Health Care Authority

  dba MCH Physicians Group

  • Family Medicine Physician
  • Monroeville, AL
  • NPI 1871015461
  NPD
• Monroe County Health Care Authority

  dba Hospice of Monroe County

  • Community Based Hospice Care Agency
  • Monroeville, AL
  • NPI 1699202341
  NPD (past)

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1750753117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 25TH AVE N STE 210",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031515",
            "telephone_number": "334-797-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MEDICAL CENTER DR",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364603036",
            "telephone_number": "251-575-3266",
            "fax_number": "251-575-3262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3443 Dickerson Pike",
            "address_2": "Suite 720",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372072519",
            "country_code": "US",
            "telephone_number": "615-610-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAINEY",
        "first_name": "CAROLINE",
        "middle_name": "PHILLIPS",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "20603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Practice-Monroeville Inc (Primary Care Center of Monroeville)
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• Melissa Bracken Ray, M.S.C.T.
• Lonnie L Richardson Sr., M.S., ALC
• Rite Aid
• Ashley Camille Roberson, LPN
• Rooted Family Dentistry LLC

• Pediatric Nurse Practitioner in Monroeville, AL
• Providers in Monroeville, AL by specialty
• Pediatric Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.