TIFFANY EILEEN RAIKES FNP-C NPI 1861124588

NPI Information

  • NPI: 1861124588
  • Provider Name: TIFFANY EILEEN RAIKES, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 524 SOUTHPARK BLVD
    COLONIAL HEIGHTS, VA
    ZIP 23834
  • Phone: (804) 504-7980

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NPI Details

Tiffany Eileen Raikes, FNP-C is a family nurse practitioner in Colonial Heights, VA. Tiffany Eileen Raikes, FNP-C NPI is 1861124588. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA
ZIP 23834-609
Phone: (804) 504-7980
Fax: (804) 554-5387

The NPI 1861124588 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/30/2022 and was last updated on 3/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily0024184519VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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