P Praxis·MD
● Active Type 1 · Individual

Tara Rayvonti, CPSS. B.S. FPSS

Case Manager/Care Coordinator·Paul, ID· NPI 1124872072 · Enumerated 2024 · 2 years on NPI
Rayvonti is 1 of 1 case manager/care coordinator providers in Paul and 1 of 319 in Idaho.
NPI age
2 years
Enumerated 2024-04-16
Primary specialty
Case Manager/Care Coordinator
Plus 1 subspecialty
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2024-04-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 319 active case manager/care coordinator providers in Idaho.

NPI age
2 years
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 17% of peers with subspecialties

NPI lifetime · 2024 → 2026

2024-04Enumerated in NPPES
2024 2026

Where they practice

Practice location
Po Box 754
Paul, ID 833470754
📞 2088788887fax 2088786888
Mailing address
Po Box 754
Paul, ID 833470754
📞 2088788887fax 2088786888

Specialties

  • Case Manager/Care Coordinator Primary
    A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan...
    taxonomy 171M00000X
  • Peer Specialist
    Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
    taxonomy 175T00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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