Organization Active NPI

Victoria Family Practice, LLC

  • Family Medicine Physician
  • Yorktown, VA
National Provider Identifier
1740450584
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101046857 Issued in VA
Legal business name
VICTORIA FAMILY PRACTICE, LLC
Practice address
3212B Hampton Hwy
Yorktown, VA 23693-4904
Phone
(757) 867-6160
NPI assigned
Mar 7, 2008
Last updated
Apr 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Dr. Timothy Lee Raines
Title
MD
Phone
(757) 867-6160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101046857 VA Primary

Addresses

Primary practice location

3212B Hampton Hwy
Yorktown, VA 23693-4904

Mailing address

3212B Hampton Hwy
Yorktown, VA 23693-4904
Phone (757) 867-6160

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3912/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1740450584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212B HAMPTON HWY",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236934904",
            "telephone_number": "757-867-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212B HAMPTON HWY",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236934904",
            "telephone_number": "757-867-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "RAINES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "757-867-6160",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101046857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.