Active NPI
Aretha Graves
- Driver
- Dolphin, VA
National Provider Identifier
1669997409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- T69506265
- Practice address
- 214 Pitch Kettle Rd
Dolphin, VA 23843-2122 - Phone
- (434) 532-3502
- NPI assigned
- Aug 12, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | T69506265 | VA | Primary |
Addresses
Primary practice location
214 Pitch Kettle Rd
Dolphin, VA 23843-2122
Mailing address
214 Pitch Kettle Rd
Dolphin, VA 23843-2122
Phone (434) 532-3502
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T69506265 | VA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502496000000",
"number": "1669997409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 PITCH KETTLE RD",
"city": "DOLPHIN",
"state": "VA",
"postal_code": "238432122",
"telephone_number": "434-532-3502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 PITCH KETTLE RD",
"city": "DOLPHIN",
"state": "VA",
"postal_code": "238432122",
"telephone_number": "434-532-3502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "ARETHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-12",
"last_updated": "2017-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "VA",
"license": "T69506265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dolphin, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.