Individual provider Active NPI

Lakeisha Rayner, FNP-C

  • Family Nurse Practitioner
  • Wilson, NC
National Provider Identifier
1881909372
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5004824 Issued in NC
Practice address
303 Green St E
Wilson, NC 27893-4105
Phone
(252) 243-9800
Fax
(252) 243-9888
NPI assigned
Aug 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5004824 NC Primary

Addresses

Primary practice location

303 Green St E
Wilson, NC 27893-4105

Mailing address

303 Green St E
Wilson, NC 27893-4105
Phone (252) 293-0013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20101105000553 NC Practitioner - Nurse Practitioner 4880888676 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Family Health Centers, Inc.Group PAC ID 6800841107, 29 clinicians

Practice addresses (Care Compare)

162 NC 33 E Hwy
Tarboro, NC 27886
Phone (252) 641-0514

Hospital & facility affiliations

  • Wilson Medical Center Hospital, Wilson, NC, CCN 340126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5004824NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Health Centers, Inc Current Accepting new patients
Carolina Family Health Centers, Inc CurrentSince Feb 3, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Nov 11, 2023 Accepting new patients
Carolina Family Health Centers, Inc CurrentSince Feb 3, 2021 Accepting new patients

Locations

8250 NC 58 S
Elm City, NC 27822
Phone (252) 443-7744

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

162 NC Highway 33 E
Tarboro, NC 27886
Phone (252) 641-0514

303 Green St E
Wilson, NC 27893
Phone (252) 243-9800

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: lrayner330080@direct.ochin.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1881909372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 GREEN ST E",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934105",
            "telephone_number": "252-293-0013",
            "fax_number": "252-243-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 GREEN ST E",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934105",
            "telephone_number": "252-243-9800",
            "fax_number": "252-243-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNER",
        "first_name": "LAKEISHA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.