Individual provider Active NPI

William Ray Rankins

  • Community Health Worker
  • Fayetteville, NC
National Provider Identifier
1912513565
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
3627 Dornoch Dr Apt D
Fayetteville, NC 28303-9300
Phone
(910) 273-8704
Fax
(910) 779-0367
NPI assigned
Sep 18, 2020
Last updated
Sep 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X NU Primary

Addresses

Primary practice location

3627 Dornoch Dr Apt D
Fayetteville, NC 28303-9300

Mailing address

3627 Dornoch Dr Apt D
Fayetteville, NC 28303-9300
Phone (910) 273-8704

Other identifiers 2

IdentifierTypeStateIssuer
004569OtherVETERANS ADMINISTRATION
004569OtherNCVA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL wrre.tech Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1912513565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3627 DORNOCH DR APT D",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283039300",
            "telephone_number": "910-273-8704",
            "fax_number": "910-779-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 DORNOCH DR APT D",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283039300",
            "telephone_number": "910-273-8704",
            "fax_number": "910-779-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANKINS",
        "first_name": "WILLIAM",
        "middle_name": "RAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VETERANS ADMINISTRATION",
            "identifier": "004569",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA",
            "identifier": "004569",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wrre.tech",
            "affiliation": "N",
            "endpointDescription": "secure url",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3627 Dornoch Dr Apt D",
            "city": "Fayetteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283039300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.