MRS. MIMI Y. R. RAYBURN (NPI# 1073800512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073800512 |
| Entity Type | Individual |
| Full Name | MRS. MIMI Y. R. RAYBURN |
| Credential | APRN |
| Practice Address |
865 Old Taylorsville Rd Shelbyville KY 40065 |
| Practice Telephone | 5024370450 |
| Mailing Telephone | 5024370450 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2017-04-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3006746 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
865 OLD TAYLORSVILLE RD |
| City | SHELBYVILLE |
| State | KY |
| Zip Code | 40065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
| 1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
| 1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
| 1699073338 | Emily Ann Waits | Dietitian, Registered | 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 | 2011-03-04 |
| 1124335401 | Kelli L. Fetter | Occupational Therapist | 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 | 2010-09-08 |
| 1083939425 | Marilyn Louise Rhoads | Licensed Practical Nurse | 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 | 2010-03-29 |
| 1154525277 | Dorman Preschool Center | Early Intervention Provider Agency | 719 Burks Branch Road, Shelbyville, KY 40065 | 2007-06-13 |
| 1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
| 1033298922 | Robyn A Keeling | Dentist | 502 Mount Eden Rd, Shelbyville, KY 40065 | 2006-11-03 |
| 1942392188 | Fran S Neal | Social Worker | 931 Main Street, Shelbyville, KY 40065 | 2006-09-28 |
| Find all providers in zip 40065 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568083038 | Lisa Marie Lee | Nurse Practitioner | 300 Northridge Dr, Shelbyville, IN 46176-8954 | 2020-05-06 |
| 1003475534 | Melissa Marie Pritchett | Nurse Practitioner | 768 Friesian Ct, Shelbyville, KY 40065-7211 | 2019-06-09 |
| 1508347154 | Kathryn Nicole Neisler | Nurse Practitioner | 2451 Intelliplex Dr Ste 210, Shelbyville, IN 46176-8581 | 2018-08-22 |
| 1649750167 | Mary Elizabeth Lamb | Nurse Practitioner | 80 Providence Rd, Shelbyville, TN 37160-4835 | 2018-08-14 |
| 1194224998 | Stephen Blake Feldhaus | Nurse Practitioner | 112 Airport Business Park Rd, Ste H, Shelbyville, TN 37160 | 2018-02-07 |
| 1174066013 | Katherine Washburn | Nurse Practitioner | 311 Boone Station Rd Lot, Shelbyville, KY 40065-8673 | 2016-11-27 |
| 1144777335 | Johanna Coursey | Nurse Practitioner | 6799 Frankfort Rd, Shelbyville, KY 40065-9495 | 2016-09-06 |
| 1104294776 | Right Care, Shelbyville, LLC | Nurse Practitioner | 1731 N Main St, Suite F, Shelbyville, TN 37160-2372 | 2015-09-12 |
| 1467863613 | Janell Chunn Williams | Nurse Practitioner | 120 Montgomery Rd, Shelbyville, TN 37160-6258 | 2014-05-09 |
| 1013332329 | Nikki Michelle Turner | Nurse Practitioner | 208 Lane Pkwy, Shelbyville, TN 37160-3109 | 2014-02-24 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 40065 |
Please comment or provide details below to improve the information on MRS. MIMI Y. R. RAYBURN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.