Stephen D. Raines

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

DPM217 Issued in TN

Legal business name

STEPHEN D. RAINES

Doing business as

Raines Foot Clinic

Practice address

1901 Cook St
Dyersburg, TN 38024-1882

Phone

(731) 286-2139

Fax

(731) 286-2201

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy W. Raines

Title

Office Manager

Phone

(731) 885-0220

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Raines Foot Clinic Doing business as

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1962534677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 E REELFOOT AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615812",
            "telephone_number": "731-885-0220",
            "fax_number": "731-885-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 COOK ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241882",
            "telephone_number": "731-286-2139",
            "fax_number": "731-286-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN D. RAINES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "RAINES",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "731-885-0220",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "DPM 658",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TN",
            "license": "DPM217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3350896",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME NPI",
            "identifier": "1790999456",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548228620",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3354277",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1568496172",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raines Foot Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• State of Tennessee
• Teresa L Stavely, D.D.S.
• Brandy Latham Steelman, MSN, FNP-C
• Stephen D Raines
• Stephen D Raines D.P.M.
• Baker Lee Stewart, MD
• Teresa Ann Stewart, NP-C
• Terry Stewart
• Shawn Daniel Stork, PTA
• Rachel Hope Stover

• Foot Surgery Podiatrist in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Foot Surgery Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.