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MRS. MIMI Y. R. RAYBURN APRN
NPI 1073800512
Nurse Practitioner - Family in Shelbyville, KY

Active since July 05, 2011
865 OLD TAYLORSVILLE RD, SHELBYVILLE, KY 40065(502) 437-0450 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Mimi Y. R. Rayburn Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MIMI Y. R. RAYBURN APRN (NPI 1073800512) is an individual family provider in Shelbyville, Kentucky, licensed in Kentucky (3006746) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1073800512
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MIMI Y. R. RAYBURNCredential: APRN
Location Address865 OLD TAYLORSVILLE RDShelbyville, KY 40065
Mailing Address865 Old Taylorsville RdShelbyville, KY 40065 · (502) 437-0450
Phone(502) 437-0450
Sole ProprietorYes
Enumeration DateJuly 5, 2011
Last NPPES UpdateApril 5, 2017
✔ NPI 1073800512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3006746
865 OLD TAYLORSVILLE RD, Shelbyville, KY 40065
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mimi Rayburn's NPI number?

The NPI number for Mimi Rayburn is 1073800512. It was assigned to this individual provider in the NPPES registry on July 5, 2011.

Where is Mimi Rayburn located?

Mimi Rayburn practices at 865 Old Taylorsville Rd, Shelbyville, KY 40065. The listed phone number is (502) 437-0450.

What is Mimi Rayburn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mimi Rayburn was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.