Active NPI
Angelina Stanford, PA
- Physician Assistant
- Midlothian, VA
National Provider Identifier
1124838263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110011067
- Practice address
- 5021 Craig Rath Blvd
Midlothian, VA 23112-6243 - Phone
- (804) 592-5437
- Fax
- (804) 592-2406
- NPI assigned
- Jan 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110011067 | VA | Primary |
Addresses
Primary practice location
5021 Craig Rath Blvd
Midlothian, VA 23112-6243
Mailing address
825 Fairfax Ave
Norfolk, VA 23507-1914
Phone (757) 446-5600
Other practice location 1
825 Fairfax Ave
Norfolk, VA 23507-1914
Phone (757) 446-5600
Other names 1
- Angelina Rauschenbach
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110011067 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidmed Southside PLC | Past | Accepting new patients | |
| Kidmed Inc. | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Midlothian, VA
- NPI 1477869337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1124838263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 FAIRFAX AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235071914",
"telephone_number": "757-446-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5021 CRAIG RATH BLVD",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231126243",
"telephone_number": "804-592-5437",
"fax_number": "804-592-2406"
}
],
"practiceLocations": [
{
"address_1": "825 Fairfax Ave",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235071914",
"country_code": "US",
"telephone_number": "757-446-5600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STANFORD",
"first_name": "ANGELINA",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-10",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110011067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELINA",
"last_name": "RAUSCHENBACH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.