RAVEN GUY LPN
NPI 1386907566
Licensed Practical Nurse in Mastic Beach, NY

Q: What is Raven Guy's NPI number?

The NPI number for Raven Guy is 1386907566. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Q: What is Raven Guy's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Raven Guy was last updated on June 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 21, 2012

530 MASTIC RD, MASTIC BEACH, NY 11951(631) 433-0598 Get Directions Write a Review

NPPES record last updated: June 21, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Raven Guy Lpn NPPES

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

RAVEN GUY LPN (NPI 1386907566) is an individual licensed practical nurse in Mastic Beach, New York, licensed in New York (304095) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1386907566

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameRAVEN GUYCredential: LPN

Location Address530 MASTIC RDMastic Beach, NY 11951-1012

Mailing Address24 Prospect AveBrentwood, NY 11717-2423 · (631) 398-8966

Phone(631) 433-0598

Sole ProprietorYes

Enumeration DateJune 21, 2012

✔ NPI 1386907566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 304095

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

530 MASTIC RD, Mastic Beach, NY 11951

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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 Raven Guy's NPI number?

The NPI number for Raven Guy is 1386907566. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Where is Raven Guy located?

Raven Guy practices at 530 Mastic Rd, Mastic Beach, NY 11951. The listed phone number is (631) 433-0598.

What is Raven Guy's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Raven Guy was last updated on June 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.