Individual provider Active NPI

Raulynne A Daire, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Covington, LA
National Provider Identifier
1790927663
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
RN060796 Issued in LA
Practice address
19404 N 10TH St
Covington, LA 70433-8892
Phone
(985) 871-1380
Fax
(985) 871-1387
NPI assigned
Mar 24, 2009
Last updated
Mar 24, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN060796 LA Primary

Addresses

Primary practice location

19404 N 10TH St
Covington, LA 70433-8892

Mailing address

19404 N 10TH St
Covington, LA 70433-8892
Phone (985) 871-1380

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN060796LAMDAddiction (Substance Use Disorder) Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Health and Hospitals Past Accepting new patients
Louisiana Department of Health, Department of Health and Hospitals Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1790927663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19404 N 10TH ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338892",
            "telephone_number": "985-871-1380",
            "fax_number": "985-871-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19404 N 10TH ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338892",
            "telephone_number": "985-871-1380",
            "fax_number": "985-871-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAIRE",
        "first_name": "RAULYNNE",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "RN060796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.