Individual provider Active NPI

Karen Rainville, MD

  • Psychiatry Physician
  • Terrell, TX
National Provider Identifier
1790874709
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
J0212 Issued in TX
Practice address
1200 E Brin St
Attn Reimbursement
Terrell, TX 75160-2938
Phone
(972) 551-8730
Fax
(972) 551-8513
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X J0212 TX Primary

Addresses

Primary practice location

1200 E Brin St
Attn Reimbursement
Terrell, TX 75160-2938

Mailing address

1200 E Brin St
Attn Reimbursement
Terrell, TX 75160-2938
Phone (972) 551-8730

Other identifiers 1

IdentifierTypeStateIssuer
8K9463OtherTXMCR B NTSH PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1790874709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E BRIN ST",
            "address_2": "ATTN REIMBURSEMENT",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751602938",
            "telephone_number": "972-551-8730",
            "fax_number": "972-551-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E BRIN ST",
            "address_2": "ATTN REIMBURSEMENT",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751602938",
            "telephone_number": "972-551-8730",
            "fax_number": "972-551-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINVILLE",
        "first_name": "KAREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J0212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR B NTSH PTAN",
            "identifier": "8K9463",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.