Penny Raynor, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200383 Issued in NC

Practice address

2029 S 17TH St
Wilmington, NC 28401-6600

Phone

(910) 798-6720

NPI assigned

Feb 15, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881737047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9080 OLD RIVER RD",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284258208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016600",
            "telephone_number": "910-798-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNOR",
        "first_name": "PENNY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "200383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Ray
• Andrew Michael Ray, AGACNP-BC
• Cherolyn Patrice Ray, CSAC
• Hollis Ray, MD
• Eric Rayburn
• RCM Ventures, LLC (Caring Senior Service of Wilmington)
• RCS Counseling, PLLC
• RDMG Associates PA (Carolina Prime Internal Medicine)
• RDMG Associates, PA (Masonboro Family Medicine)
• RDMG Associates, PA (Alliance Internal Medicine)

• Family Nurse Practitioner in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.