Active NPI
Amber Nicole Zax, FNP-C
- Family Nurse Practitioner
- Martinsville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024186186
- Practice address
- 1107A Brookdale St
Martinsville, VA 24112-4501 - Phone
- (276) 220-0464
- NPI assigned
- Jan 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024186186 | VA | Primary |
Addresses
Primary practice location
1107A Brookdale St
Martinsville, VA 24112-4501
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5352
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230309000385 | VA | Practitioner - Nurse Practitioner | 2668845835 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024186186 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Health Corporation | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients |
Locations
1107A Brookdale St
Martinsville, VA 24112
Phone (276) 634-0379
159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000
2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094
Interoperability endpoints
- ariley137853@direct.carilionclinic.org
Organizations & group practices 16
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.
-
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
-
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
-
- Home Health Agency
- Roanoke, VA
- NPI 1073506002
-
- Durable Medical Equipment & Medical Supplies
- Rocky Mount, VA
- NPI 1154132280
-
- Psychiatric Hospital Unit
- Roanoke, VA
- NPI 1154307155
-
- Community Based Hospice Care Agency
- Roanoke, VA
- NPI 1477546844
-
- Emergency Medicine Physician
- Roanoke, VA
- NPI 1649423815
-
- Rehabilitation Hospital
- Roanoke, VA
- NPI 1780660233
-
- Durable Medical Equipment & Medical Supplies
- Roanoke, VA
- NPI 1851621130
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carilion Medical CenterKuumba Community Health and Wellness Center, Inc
Practice addresses (Care Compare)
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000
2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-7925
2017 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 981-7128
3716 Melrose Ave NW
Roanoke, VA 24017-2716
Phone (540) 362-0360
Hospital & facility affiliations
- Carilion Medical Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1033823596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 S JEFFERSON ST STE 1006",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240111713",
"telephone_number": "540-224-5352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107A BROOKDALE ST",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241124501",
"telephone_number": "276-220-0464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAX",
"first_name": "AMBER",
"middle_name": "NICOLE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-10",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024186186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.