LORETTA RAIFORD


Address: 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363
Phone: 4349821700

LORETTA RAIFORD (NPI# 1760089981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760089981
Entity Type Individual
Full Name LORETTA RAIFORD
Credential PMHNP
Practice Address 1300 Jefferson Park Ave
Charlottesville
VA 22903-3363
Mailing Address Po Box 9007
Charlottesville
VA 22906-9007
Practice Telephone 4349821700
Practice Fax Number 4349824054
Mailing Telephone 4342951000
Mailing Fax Number 4349724266
Enumeration Date 2020-10-01
Last Update Date 2020-10-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RI0200X Internal Medicine
Specialization: Infectious Disease
0024180279 VA Allopathic & Osteopathic Physicians
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
0024180279 VA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1215 Lee St, Charlottesville, VA 229080816 9243627434 4349240075

Office Location

Street Address 1300 JEFFERSON PARK AVE
City CHARLOTTESVILLE
State VA
Zip Code 22903-3363

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477555399 Bruce C Carter Ophthalmology 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2005-08-11
1588270342 Rachel K Murray Dietitian, Registered 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2020-09-17
1992321616 Kristina Marie Creadore Optometrist 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2020-06-18
1215558762 Allison Gossen Genetic Counselor, MS 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2020-05-06
1508409061 Molly Stevenson Bailey Dietitian, Registered 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2019-10-28
1497398994 Rebecca Shea Turner Dietitian, Registered 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2019-10-28
1215585443 Katherine Emma Connell Nurse Practitioner 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2019-08-30
1639724263 Casey Erin Cavanagh Psychologist 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2019-08-09
1679128482 Jia Yu Liu Optometrist 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2019-08-08
1659837037 Nicolas Goldaracena Transplant Surgery 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2019-02-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326671009 Ticynn Symone London Specialist/Technologist 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 2020-02-20
1043853542 Elaine Mccall Dietitian, Registered 1335 Jefferson Park Ave, Charlottesville, VA 22903 2019-10-28
1205480753 Sean Robert Bennett Clinic/Center 433 Ednam Drive, Charlottesville, VA 22903 2019-08-01
1922562818 Lynn Owen Taggart Student in an Organized Health Care Education/Training Program 300 Grassmere Rd, Charlottesville, VA 22903 2019-01-25
1831636166 Sarah Michelle Richin Social Worker 709 A West Main St, Charlottesville, VA 22903 2017-01-25
1962868851 Kelly Stewart Maurer Counselor 3101 Fontaine Avenue, Charlottesville, VA 22903 2016-01-07
1831592039 Bearley Dental PC Dentist 901 Preston Ave, Suite 200, Charlottesville, VA 22903 2014-10-01
1730437823 Frances Eva Demmerle Neuromusculoskeletal Medicine & OMM 1149 Rose Hill Dr., Charlottesville, VA 22903 2012-08-21
1801142229 University of Virginia General Acute Care Hospital 1925 Beechcrest Court, Charlottesville, VA 22903 2012-08-03
1407123516 Laura P. Handler Counselor 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 2011-11-18
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508158510 Janine I Russell Nurse Practitioner 313 2nd St Se Ste 211, Charlottesville, VA 22902-5686 2011-05-09
1306169933 Erika Denise Whetzel Nurse Practitioner 2201 Arlington Blvd, Charlottesville, VA 22903 2010-03-10
1295188753 Gina T. Condi Nurse Practitioner 2955 Ivy Rd, Ste 210, Charlottesville, VA 22903-9353 2016-07-20
1710371588 Jonathan R Mills Nurse Practitioner 887b Rio East Ct, Charlottesville, VA 22901-8004 2015-03-19
1073901336 Tanya L. Prachar Nurse Practitioner 1221 Lee St, Charlottesville, VA 22908-0001 2015-01-08
1710208608 Diane Elizabeth Boyer Nurse Practitioner 2955 Ivy Rd Ste 210, Charlottesville, VA 22903-9353 2010-06-15
1386820140 Anita Thompson Heisterman Nurse Practitioner 1215 Lee Street, Charlottesville, VA 22908-0001 2008-01-11
1780892885 Lillian Juanita Morris Nurse Practitioner 160 Peregory Ln, Charlottesville, VA 22902-8720 2007-05-20

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NPI Name Taxonomy Address Enumeration
1578160875 Tricia Daigle Northington Nurse Practitioner 20213 Eagle Cove Ct, South Chesterfield, VA 23803-1097 2020-10-08
1114524543 Alliance Mental Health LLC Nurse Practitioner 7400 Beaufont Springs Drive Pmb#2867, Suite 300, Richmond, VA 23225 2020-10-08
1699372060 Shari Chism Medley Nurse Practitioner 1088 Bagwell Dr, Scottsburg, VA 24589-2709 2020-10-07
1225635683 Kevina Boone Nurse Practitioner 5360 Discovery Park Blvd Ste 201, Williamsburg, VA 23188-2860 2020-10-07
1548876618 Jamie Kim Nurse Practitioner 3554 Chain Bridge Rd Ste 200, Fairfax, VA 22030-2709 2020-09-23
1134734957 Ai H Garner Nurse Practitioner 7400 Beaufont Springs Drive Pmb# 2867, Suite 300, Richmond, VA 23225 2020-09-09
1679185573 Shaping Your Future Psychiatry Nurse Practitioner 1534 Bateau Lndg, Chesapeake, VA 23321-6603 2020-08-20
1235749714 Germaine Kelley-pope Nurse Practitioner 622 Westover Hills Blvd, Richmond, VA 23225-4521 2020-08-09
1164031779 Georgina Rose Chidaushe Nurse Practitioner 46760 Vermont Maple Ter, Sterling, VA 20164-2234 2020-07-29
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Competitor

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City CHARLOTTESVILLE
Zip Code 22903

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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