Individual provider Active NPI

Julia Eileen Wray, D.C.

  • Nutrition Chiropractor
  • Alexandria, VA
National Provider Identifier
1306988878
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
0104-000996 Issued in VA
Practice address
301 S Columbus St
Alexandria, VA 22314-3603
Phone
(703) 836-2225
Fax
(703) 836-7172
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 0104-000996 VA Primary

Addresses

Primary practice location

301 S Columbus St
Alexandria, VA 22314-3603

Mailing address

301 S Columbus St
Alexandria, VA 22314-3603
Phone (703) 836-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110217000781 DC Practitioner - Chiropractic 0345421749 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104-000996VAMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Chiropractic LLC CurrentSince Jul 31, 2012 Accepting new patients

Locations

301 S Columbus St
Alexandria, VA 22314
Phone (703) 519-0760

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306988878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S COLUMBUS ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143603",
            "telephone_number": "703-836-2225",
            "fax_number": "703-836-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S COLUMBUS ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143603",
            "telephone_number": "703-836-2225",
            "fax_number": "703-836-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRAY",
        "first_name": "JULIA",
        "middle_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "VA",
            "license": "0104-000996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.