Individual provider Active NPI

Sherri Marie Raley, DC

  • Chiropractor
  • Youngsville, NC
National Provider Identifier
1790023653
Registry record updated Jan 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4343 Issued in NC
Practice address
4016 Wiggins Rd
Youngsville, NC 27596-9405
Phone
(919) 802-7234
NPI assigned
Jan 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4343 NC Primary

Addresses

Primary practice location

4016 Wiggins Rd
Youngsville, NC 27596-9405

Mailing address

4016 Wiggins Rd
Youngsville, NC 27596-9405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130426000497 NC Practitioner - Chiropractic 5597901165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
K and S Wellness LLCGroup PAC ID 3779729348, 5 clinicians

Practice addresses (Care Compare)

616 Doctor Calvin Jones Hwy
Suite 104
Wake Forest, NC 27587-3106
Phone (919) 761-5158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4343NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
K and S Wellness LLC Chiropractor CurrentSince Apr 1, 2013 Accepting new patients

Locations

616 Dr Calvin Jones Hwy
Ste 104
Wake Forest, NC 27587
Phone (919) 761-5158

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1359244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359244800000",
    "number": "1790023653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 WIGGINS RD",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275969405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 WIGGINS RD",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275969405",
            "telephone_number": "919-802-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALEY",
        "first_name": "SHERRI",
        "middle_name": "MARIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-27",
        "last_updated": "2013-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.