NPIMap

Organization Active NPI

Rural Infant Services Program

  • Case Management Agency
  • Urbanna, VA
National Provider Identifier
1083078935
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
T67028145 Issued in VA
Legal business name
RURAL INFANT SERVICES PROGRAM
Practice address
535372 Old Virginia Street
B
Urbanna, VA 23175
Phone
(804) 761-4131
NPI assigned
Apr 7, 2016
Last updated
Apr 7, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
MIDDLE PENINSULA NORTHERN NECK COMMUNITY SERVICES BOARDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Julia Hundley Self, B.S.W.
Title
Case Manager/Care Coordinator
Phone
(804) 761-4131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X T67028145 VA Primary

Addresses

Primary practice location

535372 Old Virginia Street
B
Urbanna, VA 23175

Mailing address

535372B Old Virginia Street
Urbanna, VA 23175
Phone (804) 761-4131

National Provider Directory

National Provider Directory
Tax ID family
Mid-Pen-N-N Counsel6 organizations share this tax ID, including this one
Part of
Mid-Pen-N-N Counsel

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1083078935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535372B OLD VIRGINIA STREET",
            "city": "URBANNA",
            "state": "VA",
            "postal_code": "23175",
            "telephone_number": "804-761-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535372 OLD VIRGINIA STREET",
            "address_2": "B",
            "city": "URBANNA",
            "state": "VA",
            "postal_code": "23175",
            "telephone_number": "804-761-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL INFANT SERVICES PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDDLE PENINSULA NORTHERN NECK COMMUNITY SERVICES BOARD",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "SELF",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "HUNDLEY",
        "authorized_official_title_or_position": "CASE MANAGER/CARE COORDINATOR",
        "authorized_official_telephone_number": "804-761-4131",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.S.W."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "VA",
            "license": "T67028145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbanna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.