Augusta Amadi

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2012021032 Issued in MO

Practice address

14101 Sullyfield Cir
Suite 400a
Chantilly, VA 20151-1625

Phone

(571) 512-7287

NPI assigned

Nov 28, 2012

Last updated

Dec 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1033454335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14101 SULLYFIELD CIR",
            "address_2": "SUITE 400A",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511625",
            "telephone_number": "571-512-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14101 SULLYFIELD CIR",
            "address_2": "SUITE 400A",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511625",
            "telephone_number": "571-512-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMADI",
        "first_name": "AUGUSTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2012021032",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "132384",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• All American Trans, LLC
• Miles Vincent Allan
• Leah Rose Towarnicky Allbright, MD
• Madeline Allen
• Megan Michele Alt
• Zouera Amadou
• American Medical Laboratory LLC
• American Pediatric Consultants
• Amity Dialysis LLC (Stone Ridge Dialysis)
• Shinette Amoh, LPN

• Family Nurse Practitioner in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.