Katherine Ann Laybourn, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

0101840551 Issued in VA

Practice address

1100 River Rd
Petersburg, VA 23804

Phone

(804) 722-4413

NPI assigned

Jun 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: katherine.laybourn.1@27370.direct.athenahealth.com

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295937407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 HANOVER AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232203506",
            "telephone_number": "804-355-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 RIVER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23804",
            "telephone_number": "804-722-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYBOURN",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "VA",
            "license": "0101840551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan E Langer, M.D.
• Peyton Michael Lassiter, LPC
• Laura Ann Lavold, FNP-BC
• Nikki Y Lawrence Smith, PH.D
• David S Lawson
• Lac K Le, M.D.
• Thu Le
• Leap of Faith Adult Services LLC
• Shani Gabrielle Lee-Johnson, R.N.
• Ashley Jihui Lee

• Adult Medicine Physician in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Adult Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.