Individual provider Active NPI

Rainey Theresa Raimonde, PA-C

  • Physician Assistant
  • Holyoke, MA
National Provider Identifier
1891486346
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
575 Beech St
Holyoke, MA 01040-2223
Phone
(413) 534-2500
NPI assigned
May 16, 2023
Last updated
May 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary
Medical Physician Assistant 363AM0700X NU

Addresses

Primary practice location

575 Beech St
Holyoke, MA 01040-2223

Mailing address

777 Main St Unit 2110
Hartford, CT 06103-2323
Phone (602) 339-2405

Other practice location 1

201 Chestnut Hill Rd
Stafford Springs, CT 06076-4005
Phone (860) 684-4251

Other practice location 2

320 Pomfret St
Putnam, CT 06260-1869
Phone (860) 928-6541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20230920001025 MA Practitioner - Physician Assistant 6608230990 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Medical Center LLCGroup PAC ID 0840570628, 52 clinicians

Practice addresses (Care Compare)

10 Hospital Dr
Holyoke, MA 01040-6603

1505 Memorial Dr
Chicopee, MA 01020-3900
Phone (413) 366-9977

575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2697

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Western Mass Physician Associates Inc CurrentSince Nov 1, 2024 Accepting new patients
Western Mass Physician Associates Inc Past Accepting new patients

Locations

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

Interoperability endpoints

  • Direct secure messaging: rraimonde3078765@direct.trinity-health.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1891486346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 MAIN ST UNIT 2110",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061032323",
            "telephone_number": "602-339-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 BEECH ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402223",
            "telephone_number": "413-534-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Chestnut Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Stafford Springs",
            "state": "CT",
            "postal_code": "060764005",
            "country_code": "US",
            "telephone_number": "860-684-4251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Pomfret St",
            "address_purpose": "LOCATION",
            "city": "Putnam",
            "state": "CT",
            "postal_code": "062601869",
            "country_code": "US",
            "telephone_number": "860-928-6541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAIMONDE",
        "first_name": "RAINEY",
        "middle_name": "THERESA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.