Individual provider Active NPI

June Raehl, FNP-BC

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1770904740
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024171281 Issued in VA
Practice address
1704 Sir William Osler Dr
Virginia Beach, VA 23454-3003
Phone
(757) 481-4383
Fax
(757) 481-4611
NPI assigned
Dec 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024171281 VA Primary

Addresses

Primary practice location

1704 Sir William Osler Dr
Virginia Beach, VA 23454-3003

Mailing address

1704 Sir William Osler Dr
Virginia Beach, VA 23454-3003
Phone (757) 481-4383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140408000002 VA Practitioner - Nurse Practitioner 3577795442 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024171281VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy and Asthma Specialists, LTD. CurrentSince Feb 24, 2014 Accepting new patients

Locations

300 Medical Pkwy
Ste 100
Chesapeake, VA 23320
Phone (757) 547-7702

155 Kingsley Ln
Ste 210
Norfolk, VA 23505
Phone (757) 583-4382

1704 Sir William Osler Dr
Virginia Beach, VA 23454
Phone (757) 481-4383

Organizations & group practices 1

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": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1770904740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 SIR WILLIAM OSLER DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543003",
            "telephone_number": "757-481-4383",
            "fax_number": "757-481-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 SIR WILLIAM OSLER DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543003",
            "telephone_number": "757-481-4383",
            "fax_number": "757-481-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAEHL",
        "first_name": "JUNE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.