Individual provider Active NPI

Latoya Raby, PA

  • Physician Assistant
  • Falls Church, VA
National Provider Identifier
1386012284
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110006815 Issued in VA
Practice address
8116 Arlington Blvd
Suite 183
Falls Church, VA 22042-1002
Phone
(703) 659-4557
Fax
(703) 205-9010
NPI assigned
Sep 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X
Physician Assistant 363A00000X 0110006815 VA Primary

Addresses

Primary practice location

8116 Arlington Blvd
Suite 183
Falls Church, VA 22042-1002

Mailing address

8116 Arlington Blvd
Suite 183
Falls Church, VA 22042-1002
Phone (703) 659-4557

Other identifiers 2

IdentifierTypeStateIssuer
0012OtherNCCSA
4490OtherVANSAA

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191120001381 VA Practitioner - Physician Assistant 2365874948 Reassigns benefits to 3 organizations
I20210309000175 DC Practitioner - Physician Assistant 2365874948 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110006815VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Richmond Medical Group PLLC CurrentSince Mar 26, 2020 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Mar 26, 2020 Accepting new patients
District Hospital Partners LP CurrentSince Feb 23, 2021 Accepting new patients
Velocity Urgent Care, LLC CurrentSince Mar 20, 2023 Accepting new patients
District Hospital Partners L P CurrentSince Feb 23, 2021 Accepting new patients

Locations

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

4374 New Town Ave
Williamsburg, VA 23188
Phone (757) 772-6124

Organizations & group practices 7

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": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1386012284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 ARLINGTON BLVD",
            "address_2": "SUITE 183",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421002",
            "telephone_number": "703-659-4557",
            "fax_number": "703-205-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8116 ARLINGTON BLVD",
            "address_2": "SUITE 183",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421002",
            "telephone_number": "703-659-4557",
            "fax_number": "703-205-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABY",
        "first_name": "LATOYA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCSA",
            "identifier": "0012",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSAA",
            "identifier": "4490",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "8116 Arlington Blvd",
            "address_2": "Suite 183",
            "city": "Falls Church",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220421002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.