Karen Lesley Raburn, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

96-388 Issued in NM

Practice address

102 E High St
Box 881
Tucumcari, NM 88401-2726

Phone

(575) 461-6200

Fax

(575) 461-0404

NPI assigned

Mar 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Karen Lesley Raburn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Mesa Counseling, LLC

  • Mental Health Counselor
  • Tucumcari, NM
  • NPI 1518180777
  NPD (past)

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1881726388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E HIGH",
            "address_2": "BOX 881",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884010881",
            "telephone_number": "575-461-6200",
            "fax_number": "575-461-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E HIGH ST",
            "address_2": "BOX 881",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884012726",
            "telephone_number": "575-461-6200",
            "fax_number": "575-461-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABURN",
        "first_name": "KAREN",
        "middle_name": "LESLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NM",
            "license": "96-388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00646",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "RABURN",
            "middle_name": "LESLEY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Presbyterian Healthcare Services
• Presbyterian Healthcare Services
• Presbyterian Medical Services
• Presbyterian Medical Services
• Professional Counseling Associates of New Mexico
• Susan Ragland
• Waymond Ragland
• Donald Rich
• Kimberly Rich
• Ellen Ridge

• Child & Adolescent Psychiatry Physician in Tucumcari, NM
• Providers in Tucumcari, NM by specialty
• Child & Adolescent Psychiatry Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.