Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RAYDIANCE, LLC
NPI 1962203554
Nurse Practitioner - Psychiatric/Mental Health in Erwin, TN

Active since March 20, 2025
218 GAY ST, ERWIN, TN 37650(603) 325-5970(765) 225-5134 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2025, Mar 21, 2025 (2 updates tracked since 2025).

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

NPI1962203554
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameRAYDIANCE, LLC
Location Address218 GAY STErwin, TN 37650-1230
Mailing Address218 Gay StErwin, TN 37650-1230 · (603) 325-5970 · Fax (765) 225-5134
Fax(765) 225-5134
Organization SubpartNo
Authorized OfficialAlicia Susanne EmeryOwner · (423) 741-1481
Enumeration DateMarch 20, 2025
Last NPPES UpdateJune 10, 20262 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
NPI 1962203554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
218 GAY ST, Erwin, TN 37650

Other Names 1

Other NameRaydiance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
218 GAY ST
ERWIN, TN 37650

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.

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 59 days 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.