Ciera Raven

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN091528 Issued in GA

Practice address

205 E Church St
Americus, GA 31709-3603

Phone

(229) 938-1528

NPI assigned

Nov 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Graceful Hands Home Care LLC

  • In Home Supportive Care Agency
  • Americus, GA
  • NPI 1972160687
  NPD (past) Authorized official

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1851868327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E CHURCH ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093603",
            "telephone_number": "229-938-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E CHURCH ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093603",
            "telephone_number": "229-938-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVEN",
        "first_name": "CIERA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN091528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "82-2528442",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ansley Ragan, LPN
• Michael P Raines, M.D
• Raveona L Randell
• Willene Randell
• Arthur L Raven Jr., LPN
• Frances H Rawlins, RNC
• Ray M Duke Jr DMD PC
• Kyra Reagan
• Joaquin Reed, FNP-BC
• Erik Christian Reep, PSS

• Licensed Practical Nurse in Americus, GA
• Providers in Americus, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.