NPI Portal NPI Lookup & Verification

Mr. Jim Raynor, ATC

Mr. Jim Raynor is a Athletic Trainer provider (Specialist/Technologist) practicing in Springfield, MO, registered in the NPPES registry with NPI 1073504783 since 2005.

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NPI 1073504783
Entity type Individual (Type 1)
Name Mr. Jim Raynor
Credential ATC
Sex Male
Practice address 1235 E CHEROKEE ST, Springfield, MO, 65804
Phone 4178207990
Enumeration date 2005-11-02
Last updated in NPPES 2007-07-08

Taxonomy & licenses

Taxonomy code Specialty Primary License State
2255A2300X Athletic Trainer Primary 109104 MO
Copy-ready billing details
Provider: Jim Raynor, ATC
NPI: 1073504783
Taxonomy: 2255A2300X (Athletic Trainer)
Address: 1235 E CHEROKEE ST, Springfield, MO, 65804

Other providers at this practice address

NPI Name Type Specialty Location
1184540593 Peter Tran Individual Pharmacy Technician Springfield, MO
1063339554 Marriah Zeugin Individual Certified Registered Nurse Anesthetist Springfield, MO
1982600284 Maria Brazil Individual Anesthesiology Physician Springfield, MO
1780677732 Diane Lipscomb Individual Pediatric Critical Care Medicine Physician Springfield, MO
1447244884 Olevia Pitts Individual Internal Medicine Physician Springfield, MO
1659360428 Jessetta Joswick Individual Certified Registered Nurse Anesthetist Springfield, MO
1750372421 Mark Seigler Individual Athletic Trainer Springfield, MO
1407847080 Michael Salat Individual Athletic Trainer Springfield, MO

Verify this record

Cross-check NPI 1073504783 against the authoritative CMS record: view Mr. Jim Raynor on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where does Jim Raynor practice?
The practice location on file with NPPES is in Springfield, MO. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jim Raynor?
The National Provider Identifier (NPI) for Jim Raynor is 1073504783, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.