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Deactivated NPI 1396464608 Deactivated / Inactive NPI Female Practitioner

Wendy Gail Rayburn

Contractor • Wasilla, AK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Wendy Rayburn has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 22, 2022
NPI Deactivation Date August 30, 2023
Total Practice Duration ~1 Years of Practice (2022 – 2023)

Professional Overview & Biography Verified Profile Summary

Wendy Rayburn was a registered Contractor practicing in Wasilla, AK. Throughout an active medical career spanning 1 years, Wendy Rayburn provided care at the practice location at 1781 S ABBY BLVD until profile deactivation on 2023-08-30.

Practice Location & Contact Primary Location

Practice Address

1781 S Abby Blvd

Wasilla, AK 996548448

Telephone 9075388399
Associated Practice Facility / Clinic
🏢 Abby Assisted Living Llc Facility NPI 1093476947

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Wasilla, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Wasilla, AK (26 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 30, 2023

Record deactivated on August 30, 2023

NPI Profile Active August 25, 2022

NPI status registered as active in NPPES database

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Updated Practice Location August 25, 2022

Registered at 1781 S ABBY BLVD, WASILLA, AK 996548448 (Tel: 9075388399)

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Updated Business Mailing Address August 25, 2022

Registered at 9552 S STARLIGHT LN, WASILLA, AK 996234999 (Tel: 9075388399)

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Provider Name / Credentials Updated August 25, 2022

Recorded as WENDY RAYBURN

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2022

Contractor

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Initial NPI Registration & Enumeration August 22, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396464608
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2022
Last Update: August 25, 2022
Deactivation Date: August 30, 2023

Mailing Address

9552 S Starlight Ln

Wasilla, AK 996234999

Phone: 9075388399

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.