NPIMap

Individual provider Active NPI

Victoria Peyton Tomlin, NP

  • Nurse Practitioner
  • Raphine, VA
National Provider Identifier
1639618416
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024175016 Issued in VA
Practice address
25 Commerce Park Dr
Raphine, VA 24472-2547
Phone
(540) 490-2527
Fax
(540) 377-2099
NPI assigned
Feb 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001252320 VA
Nurse Practitioner 363L00000X 0024175016 VA Primary

Addresses

Primary practice location

25 Commerce Park Dr
Raphine, VA 24472-2547

Mailing address

433 Swope LN
Fairfield, VA 24435-2814
Phone (540) 294-3034

Other practice location 1

20 Bobbys Way Ste 102
Staunton, VA 24401-4461
Phone (540) 887-8200

Other names 1

  • Miss Victoria Peyton Hevener Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170816000590 VA Practitioner - Nurse Practitioner 3072885714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

40 Cherry Grove Rd
Middlebrook, VA 24459-2100
Phone (540) 887-2627

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Staunton, VA, CCN 497646
  • Augusta Health Hospital, Fishersville, VA, CCN 490018
  • University of Virginia Medical Center Hospital, Charlottesville, VA, CCN 490009
  • Carilion Stonewall Jackson Hospital Hospital, Lexington, VA, CCN 491304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001252320VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Mar 22, 2021 Accepting new patients
Privia Medical Group, LLC CurrentSince Mar 22, 2021 Accepting new patients

Locations

8644 Sudley Rd
#220
Manassas, VA 20110

25 Commerce Park Dr
Raphine, VA 24472
Phone (540) 490-2527

Interoperability endpoints

  • Direct secure messaging: victoria.tomlin.1@8042.direct.athenahealth.com

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1639618416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 SWOPE LN",
            "city": "FAIRFIELD",
            "state": "VA",
            "postal_code": "244352814",
            "telephone_number": "540-294-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COMMERCE PARK DR",
            "city": "RAPHINE",
            "state": "VA",
            "postal_code": "244722547",
            "telephone_number": "540-490-2527",
            "fax_number": "540-377-2099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Bobbys Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Staunton",
            "state": "VA",
            "postal_code": "244014461",
            "country_code": "US",
            "telephone_number": "540-887-8200",
            "fax_number": "540-887-8203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMLIN",
        "first_name": "VICTORIA",
        "middle_name": "PEYTON",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001252320",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024175016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "HEVENER",
            "middle_name": "PEYTON",
            "prefix": "MISS",
            "credential": "R.N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raphine, VA

Sources for this page

Verify at the official NPI Registry.