Active NPI
Maria I. Raines, CNS
- Clinical Nurse Specialist
- Woodbury, MN
National Provider Identifier
1982764296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- R140280-1
- Practice address
- 1925 Woodwinds Dr
Woodbury, MN 55125-2270 - Phone
- (651) 232-0100
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | R140280-1 | MN | Primary |
Addresses
Primary practice location
1925 Woodwinds Dr
Woodbury, MN 55125-2270
Mailing address
18854 Ibarra TRL
Lakeville, MN 55044-2002
Phone (952) 393-1803
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
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R140280-1 | MN | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599436800000",
"number": "1982764296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18854 IBARRA TRL",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550442002",
"telephone_number": "952-393-1803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 WOODWINDS DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252270",
"telephone_number": "651-232-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINES",
"first_name": "MARIA",
"middle_name": "I.",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2020-09-07",
"certification_date": "2020-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "MN",
"license": "R140280-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.