Nicole B Rayburn, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A3791 Issued in MS

Practice address

290 E Layfair Dr
Flowood, MS 39232-9526

Phone

(601) 981-2825

Fax

(601) 981-2827

NPI assigned

Nov 20, 2013

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

• Jeremi N Buffington Former name

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Jackson Ear Clinic PA

  • Specialist
  • Flowood, MS
  • NPI 1093934002
  Medicare reassignment NPD
• Mid-South Ear, Nose, and Throat, P.C.

  • Otolaryngology Physician
  • Germantown, TN
  • NPI 1407057276
  NPD (past)
• North Internal Medicine, P. C.

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1518982008
  NPD (past)

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1770913246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 E LAYFAIR DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329526",
            "telephone_number": "601-981-2825",
            "fax_number": "601-981-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 E LAYFAIR DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329526",
            "telephone_number": "601-981-2825",
            "fax_number": "601-981-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYBURN",
        "first_name": "NICOLE",
        "middle_name": "B",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-20",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MS",
            "license": "A3791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEREMI",
            "last_name": "BUFFINGTON",
            "middle_name": "N",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rankin Laboratories LLC
• Rapha Wellness and Primary Care, LLC
• Charles David Ratcliff, D.M.D., M.S.D.
• Chambre Patrice Ratliff, NP
• Hannah Ray
• Richard Rayford, M.D.
• Misti L Ready, CNFP
• Karan Lynn Redditt
• Amanda A. Reeves, M.D.
• Vonda G Reeves, MD

• Audiologist in Flowood, MS
• Providers in Flowood, MS by specialty
• Audiologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.