Active NPI
Raydiance, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Erwin, TN
National Provider Identifier
1962203554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- RAYDIANCE, LLC
- Practice address
- 218 Gay St
Erwin, TN 37650-1230 - Phone
- (603) 325-5970
- Fax
- (765) 225-5134
- NPI assigned
- Mar 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Alicia Susanne Emery, DNP, FNP-BC, PMHNP-C
- Title
- Owner
- Phone
- (423) 741-1481
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
218 Gay St
Erwin, TN 37650-1230
Mailing address
218 Gay St
Erwin, TN 37650-1230
Phone (603) 325-5970
Other names 1
- RAYdiance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
218 Gay St
Erwin, TN 37650
631 Sinasta Dr
Ste 6
Erwin, TN 37650
631 Sinasta Dr
Ste 4B
Erwin, TN 37650
Phone (423) 302-0663
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Johnson City, TN
- NPI 1487224051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781049600000",
"number": "1962203554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 GAY ST",
"city": "ERWIN",
"state": "TN",
"postal_code": "376501230",
"telephone_number": "603-325-5970",
"fax_number": "765-225-5134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 GAY ST",
"city": "ERWIN",
"state": "TN",
"postal_code": "376501230",
"telephone_number": "603-325-5970",
"fax_number": "765-225-5134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAYDIANCE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-20",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A",
"authorized_official_last_name": "EMERY",
"authorized_official_first_name": "ALICIA",
"authorized_official_middle_name": "SUSANNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "423-741-1481",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "DNP, FNP-BC, PMHNP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RAYdiance",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "RAYdiance",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Erwin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.