Individual provider Active NPI

Julia Annette Johnson Rayfield, DO

  • Internal Medicine Physician
  • Eastville, VA
National Provider Identifier
1164405502
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0102050167 Issued in VA
Practice address
16366 Courthouse Road
Eastville, VA 23347-1349
Phone
(757) 678-5295
Fax
(757) 678-5351
NPI assigned
Nov 21, 2005
Last updated
Aug 6, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0102050167 VA Primary

Addresses

Primary practice location

16366 Courthouse Road
Eastville, VA 23347-1349

Mailing address

PO Box 1349
Eastville, VA 23347-1349
Phone (757) 678-5295

Other identifiers 2

IdentifierTypeStateIssuer
139650OtherVAANTHEM BCBS OF VA
7610408MedicaidVA

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)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0102050167VAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1164405502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1349",
            "city": "EASTVILLE",
            "state": "VA",
            "postal_code": "233471349",
            "telephone_number": "757-678-5295",
            "fax_number": "757-678-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16366 COURTHOUSE ROAD",
            "city": "EASTVILLE",
            "state": "VA",
            "postal_code": "233471349",
            "telephone_number": "757-678-5295",
            "fax_number": "757-678-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON RAYFIELD",
        "first_name": "JULIA",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102050167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF VA",
            "identifier": "139650",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7610408",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.