Individual provider
ANDREA RAINE, CPM, LM
CMS NPPES lists ANDREA RAINE as an individual provider record with NPI 1003003773. The current record reports a primary practice location in STEVENS POINT, WI and primary taxonomy code 176B00000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location2108 CHURCH STSTEVENS POINT, WI 544814503
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
175M00000XAdditional reported taxonomy176B00000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- September 26, 2007
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.