RAYDIANCE, LLC
NPI 1962203554
Nurse Practitioner - Psychiatric/Mental Health in Erwin, TN
About Raydiance, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAYDIANCE, LLC (NPI 1962203554) is a healthcare organization registered as a psychiatric/mental health in Erwin, Tennessee and active in the NPI registry since March 2025. The organization lists Alicia Susanne Emery, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Raydiance, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Raydiance, LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Raydiance, LLC's NPI number?
The NPI number for Raydiance, LLC is 1962203554. It was assigned to this organization in the NPPES registry on March 20, 2025. The provider is also known as RAYdiance.
Where is Raydiance, LLC located?
Raydiance, LLC is located at 218 Gay St, Erwin, TN 37650. The listed phone number is (603) 325-5970.
What is Raydiance, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Raydiance, LLC enrolled in Medicare?
Yes. Raydiance, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Raydiance, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Raydiance, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Raydiance, LLC was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Raydiance, Llc · NPI 1962203554
Psychiatric/Mental Health organization in Erwin, Tennessee. Organization record, active in the CMS NPPES registry since March 20, 2025.
## Identity
- **NPI:** 1962203554 (Entity type: Organization)
- **Enumerated:** March 20, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Also known as:** RAYdiance (Other Name)
- **Organization subpart:** No
- **Authorized official:** Alicia Emery, OWNER
## Practice location
- **Address:** 218 GAY ST, Erwin, TN 37650-1230
- **Phone:** (603) 325-5970 · **Fax:** (765) 225-5134
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1962203554) · Data from the CMS NPPES public registry.