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RAVEN LIBERTY
NPI 1699567594
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since May 19, 2025
12847 DAYLIGHT DR APT 1328, SAINT LOUIS, MO 63131(815) 668-1005 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raven Liberty NPPES

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

RAVEN LIBERTY (NPI 1699567594) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since May 2025. She maintains a secondary practice location in Edwardsville.

NPPES Registry Identity

NPI1699567594
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameRAVEN LIBERTY
Location Address12847 DAYLIGHT DR APT 1328Saint Louis, MO 63131-1953
Mailing Address12847 Daylight Dr Apt 1328Saint Louis, MO 63131-1953 · (815) 668-1005
Phone(815) 668-1005
Sole ProprietorNo
Enumeration DateMay 19, 2025
NPPES CertifiedMay 19, 2025
✔ NPI 1699567594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
12847 DAYLIGHT DR APT 1328, Saint Louis, MO 63131
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Secondary Practice Location 1

Location 11 Hairpin DriveEdwardsville, IL 62026-1953 · Phone (618) 650-3283

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 Liberty's NPI number?

The NPI number for Raven Liberty is 1699567594. It was assigned to this individual provider in the NPPES registry on May 19, 2025.

Where is Raven Liberty located?

Raven Liberty practices at 12847 Daylight Dr Apt 1328, Saint Louis, MO 63131. The listed phone number is (815) 668-1005.

What is Raven Liberty's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Raven Liberty was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.