Active NPI
Virginia Maria Raffaele, PA-C, CD
- Doula
- Everett, WA
National Provider Identifier
1417306127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- 14122
- Practice address
- 2930 Maple St
Everett, WA 98201-3832 - Phone
- (425) 261-1500
- NPI assigned
- Jun 3, 2016
- Last updated
- May 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 60827984 | WA | |
| Doula | 374J00000X | 14122 | WA | Primary |
Addresses
Primary practice location
2930 Maple St
Everett, WA 98201-3832
Mailing address
2930 Maple St
Everett, WA 98201-3832
Phone (425) 261-1500
Other practice location 1
2930 Maple St
Kaiser Permanente
Everett, WA 98201
Phone (425) 261-1500
Other practice location 2
15826 30th Ave NE
Shoreline, WA 98155-6529
Phone (929) 464-4669
Other names 1
- Virginia M Veraz
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60827984 | WA | MD | Physician Assistant |
| 14122 | WA | MD | Doula |
Interoperability endpoints
- vveraz194465@ghc.direct-ci.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1417306127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2930 MAPLE ST",
"city": "EVERETT",
"state": "WA",
"postal_code": "982013832",
"telephone_number": "425-261-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2930 MAPLE ST",
"city": "EVERETT",
"state": "WA",
"postal_code": "982013832",
"telephone_number": "425-261-1500"
}
],
"practiceLocations": [
{
"address_1": "2930 Maple St",
"address_2": "Kaiser Permanente",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "98201",
"country_code": "US",
"telephone_number": "425-261-1500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15826 30th Ave NE",
"address_purpose": "LOCATION",
"city": "Shoreline",
"state": "WA",
"postal_code": "981556529",
"country_code": "US",
"telephone_number": "929-464-4669",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAFFAELE",
"first_name": "VIRGINIA",
"middle_name": "MARIA",
"credential": "PA-C, CD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-03",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "60827984",
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "WA",
"license": "14122",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "2930 Maple St",
"city": "Everett",
"state": "WA",
"country_code": "US",
"postal_code": "982013832",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "VIRGINIA",
"last_name": "VERAZ",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.