Corinne Ataraxia Ravenwald

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

1380156 Issued in MN

Practice address

1140 White Bear Ave N
Saint Paul, MN 55106-3004

Phone

(651) 888-7630

NPI assigned

Jun 6, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1760376388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 WHITE BEAR AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551063004",
            "telephone_number": "651-888-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 WHITE BEAR AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551063004",
            "telephone_number": "651-888-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVENWALD",
        "first_name": "CORINNE",
        "middle_name": "ATARAXIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "MN",
            "license": "1380156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Rae Rausch, RN
• Lisa Rauschendorfer, MSW, LICSW
• Nicole Rauterkus
• Anna Marie Rauzi, MD
• Raven Health Services
• Prathap Raviraj, MD
• Ajay Rawal, MD
• Charles C Rawlings, DC
• Tarang Bhupendra Ray, M.D.
• William Robert Ray II

• School Registered Nurse in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• School Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.