MR. TIMOTHY J RATHBUN CRNA
NPI 1083624548
Nurse Anesthetist, Certified Registered in Fairfax, VA

Q: What is Timothy Rathbun's NPI number?

The NPI number for Timothy Rathbun is 1083624548. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Q: What is Timothy Rathbun's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Rathbun was last updated on March 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 08, 2006

3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033(703) 295-9360(703) 295-9369 Get Directions Write a Review

NPPES record last updated: March 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Timothy J Rathbun Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TIMOTHY J RATHBUN CRNA (NPI 1083624548) is an individual nurse anesthetist, certified registered in Fairfax, Virginia, licensed in Virginia (0024071653) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1083624548

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMR. TIMOTHY J RATHBUNCredential: CRNA

Location Address3600 JOSEPH SIEWICK DRFairfax, VA 22033-1709

Mailing Address3998 Fair Ridge Dr, Suite 300Fairfax, VA 22033-2907 · (703) 295-9360 · Fax (703) 766-9725

Phone(703) 295-9360

Fax(703) 295-9369

Sole ProprietorNo

Enumeration DateAugust 8, 2006

Last NPPES UpdateMarch 30, 2015

✔ NPI 1083624548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in VA · 0024071653

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

3600 JOSEPH SIEWICK DR, Fairfax, VA 22033

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Other Identifiers 8

Medicaid1083624548VA

Other300654VA · Amerigroup

Other139180VA · Anthem

OtherK142-0002DC · Carefirst

Medicare PIN00658F89DC

Other430039669VA · Railroad Medicare

Other484645VA · Ncppo

Medicare PIN009853F81VA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA K HERSCH CRNA

Nurse Anesthetist, Certified Registered