Active NPI
Yvette C. Johnson-Threat, M.D.
- Internal Medicine Physician
- Richmond, VA
National Provider Identifier
1164454740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101054237
- Practice address
- 1510 N 28TH St
Suite 308
Richmond, VA 23223-5311 - Phone
- (804) 644-1665
- Fax
- (804) 644-5285
- NPI assigned
- Jul 6, 2006
- Last updated
- Nov 25, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101054237 | VA | Primary |
Addresses
Primary practice location
1510 N 28TH St
Suite 308
Richmond, VA 23223-5311
Mailing address
1510 N 28TH St
Suite 308
Richmond, VA 23223-5311
Phone (804) 644-1665
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2104493 | Other | VA | MAMSI |
| 5487309 | Other | VA | AETNA LIFE |
| P00153281 | Other | VA | RAILROAD MEDICARE |
| 6246708 | Other | VA | CIGNA |
| 463643 | Other | VA | ANTHEM BCBS OF VA |
| 65960 | Other | VA | SENTARA |
| 010023921 | Medicaid | VA | |
| 5487309 | Other | VA | AETNA HMO |
| 212408 | Other | VA | SOUTHERN HEALTH SERVICES |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101054237 | VA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259107200000",
"number": "1164454740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 N 28TH ST",
"address_2": "SUITE 308",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232235311",
"telephone_number": "804-644-1665",
"fax_number": "804-644-5285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 N 28TH ST",
"address_2": "SUITE 308",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232235311",
"telephone_number": "804-644-1665",
"fax_number": "804-644-5285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON-THREAT",
"first_name": "YVETTE",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2009-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101054237",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2104493",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA LIFE",
"identifier": "5487309",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00153281",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6246708",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS OF VA",
"identifier": "463643",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "65960",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010023921",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "5487309",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH SERVICES",
"identifier": "212408",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.