Individual provider Active NPI

Leslie S Raiford, NP

  • Legal Medicine
  • Orange, VA
National Provider Identifier
1295731883
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
0024165444 Issued in VA
Practice address
101C Woodmark St
Orange, VA 22960-1246
Phone
(540) 672-0793
Fax
(540) 672-3531
NPI assigned
Jun 28, 2005
Last updated
Mar 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 0024165444 VA Primary

Addresses

Primary practice location

101C Woodmark St
Orange, VA 22960-1246

Mailing address

101C Woodmark St
Orange, VA 22960-1246
Phone (540) 672-0793

Other identifiers 2

IdentifierTypeStateIssuer
007794410MedicaidVA
12957318MedicaidVA

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024165444VAMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Culpeper Medical Associates, LLC Past Accepting new patients
Advanced Health Inc Legal Medicine Past Accepting new patients
Skyline Emergency Physicians, LLC Past Accepting new patients
Durwood F. Gandee MD PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: leslie.raiford.1@18137.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1295731883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101C WOODMARK ST",
            "city": "ORANGE",
            "state": "VA",
            "postal_code": "229601246",
            "telephone_number": "540-672-0793",
            "fax_number": "540-672-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101C WOODMARK ST",
            "city": "ORANGE",
            "state": "VA",
            "postal_code": "229601246",
            "telephone_number": "540-672-0793",
            "fax_number": "540-672-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIFORD",
        "first_name": "LESLIE",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "VA",
            "license": "0024165444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007794410",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12957318",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.