Donna Butler Rackley, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

50160321 Issued in NC

Practice address

1103 Corporate Dr Ste a
Greenville, NC 27858-5968

Phone

(252) 758-6080

Fax

(252) 758-0009

NPI assigned

Dec 23, 2005

Last updated

May 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolina Clinic for Health and Wellness PA

  • Family Medicine Physician
  • Greenville, NC
  • NPI 1679998348
  Medicare reassignment NPD
• County of Pitt Office of Auditor

  dba Pitt County Health Department

  • General Practice Physician
  • Greenville, NC
  • NPI 1053777821
  Medicare reassignment NPD
• Celeste M Good

  dba Medical Park Psychiatric Associates

  • Psychiatry Physician
  • Greenville, NC
  • NPI 1093899783
  NPD (past)

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1801873583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 CORPORATE DR STE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585968",
            "telephone_number": "252-758-6080",
            "fax_number": "252-758-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 CORPORATE DR STE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585968",
            "telephone_number": "252-758-6080",
            "fax_number": "252-758-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACKLEY",
        "first_name": "DONNA",
        "middle_name": "BUTLER",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "9800",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "50160321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arman Qureshi, DO
• R Anthony Murray DDS PA
• R/T Transport Service
• Mary J Raab, MD
• Marie Raby, RN
• Kendall Rader
• Susanne Graner Raedeke, ATC
• Patricia Ragin, MS, LPC, LCAS-A
• Mary A Ragland, LD
• Elham Rahmani, MD, MPH

• Psychiatric/Mental Health Nurse Practitioner in Greenville, NC
• Providers in Greenville, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.