Individual provider Active NPI

Jane Crino Raynor, RN,BSN,MSN,FNP-C

  • Family Nurse Practitioner
  • Hampton Bays, NY
National Provider Identifier
1972538635
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
330108-1 Issued in NY
Practice address
192 Wakeman Rd
Hampton Bays, NY 11946-1731
Phone
(631) 723-1996
Fax
(631) 723-1996
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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 330108-1 NY Primary

Addresses

Primary practice location

192 Wakeman Rd
Hampton Bays, NY 11946-1731

Mailing address

192 Wakeman Rd
Hampton Bays, NY 11946-1731
Phone (631) 728-2071

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)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
330108NYMDPediatric Pulmonology Physician
330108-1NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1972538635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 WAKEMAN RD",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119461731",
            "telephone_number": "631-728-2071",
            "fax_number": "632-123-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 WAKEMAN RD",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119461731",
            "telephone_number": "631-723-1996",
            "fax_number": "631-723-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNOR",
        "first_name": "JANE",
        "middle_name": "CRINO",
        "name_prefix": "Mrs.",
        "credential": "RN,BSN,MSN,FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "330108-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton Bays, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.