Individual provider Active NPI

Rainy Weatherholt, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • New Lebanon, OH
National Provider Identifier
1811860992
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0040474 Issued in OH
Practice address
30 Brumbaugh Ave
New Lebanon, OH 45345-1206
Phone
(513) 806-7247
NPI assigned
Sep 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0040474 OH Primary

Addresses

Primary practice location

30 Brumbaugh Ave
New Lebanon, OH 45345-1206

Mailing address

30 Brumbaugh Ave
New Lebanon, OH 45345-1206
Phone (513) 806-7247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251024003223 OH Practitioner - Nurse Practitioner 0648768101 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians
Eventus Wholehealth Midwest IncGroup PAC ID 4183040470, 120 clinicians

Practice addresses (Care Compare)

3958 Brown Park Dr
Suite D
Hilliard, OH 43026-1160
Phone (260) 483-9081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0040474OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Ecs, Inc CurrentSince Oct 1, 2025 Accepting new patients
Extended Care Specialists, Inc CurrentSince Oct 1, 2025 Accepting new patients
Eventus Wholehealth Midwest Inc CurrentSince Oct 1, 2025 Accepting new patients

Locations

4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (514) 546-1900

3958 Brown Park Dr
Ste D
Hilliard, OH 43026

Organizations & group practices 3

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": "1758758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1811860992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BRUMBAUGH AVE",
            "city": "NEW LEBANON",
            "state": "OH",
            "postal_code": "453451206",
            "telephone_number": "513-806-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BRUMBAUGH AVE",
            "city": "NEW LEBANON",
            "state": "OH",
            "postal_code": "453451206",
            "telephone_number": "513-806-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERHOLT",
        "first_name": "RAINY",
        "name_prefix": "Miss",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0040474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lebanon, OH

Sources for this page

Verify at the official NPI Registry.