Justine Marie Efcavitch

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126004472 Issued in VA

Practice address

550 Brandon Ave
Charlottesville, VA 22903-3312

Phone

(650) 339-3005

NPI assigned

Jan 14, 2025

Last updated

Jun 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1366253049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 INGLEWOOD DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012896",
            "telephone_number": "650-339-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 BRANDON AVE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229033312",
            "telephone_number": "650-339-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFCAVITCH",
        "first_name": "JUSTINE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126004472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodie Ann Edwards, CRNA
• John Z Edwards, MD
• Margaret Edwards, LPC
• Mary Katherine Edwards, LPC
• Todd E Edwards, PA
• Tsola Andrew Efejuku, MD
• Marlena P Eggeling, AC-PNP
• Katarine V L Egressy, MD
• Dawit Eguale
• Eh Hospice of the Mid Atlantic, LLC (Enhabit Hospice)

• Athletic Trainer in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.