Andrea L. Mayo, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0024185102 Issued in VA

Practice address

8006 Discovery Dr Ste 400
Henrico, VA 23229-8600

Phone

(804) 256-8282

Fax

(804) 256-8288

NPI assigned

Oct 17, 2022

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Vitalcare Family LLCGroup PAC ID 6709132731, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GCGCBD

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.

• Vitalcare Family LLC

  • Family Medicine Physician
  • Chesterfield, VA
  • NPI 1205337417
  Medicare reassignment Care Compare group NPD
• Elgreat Healthcare Services LLC

  • Multi-Specialty Clinic/Center
  • Henrico, VA
  • NPI 1922753193
  Medicare reassignment NPD
• Nourish2Flourishrva LLC

  • Registered Dietitian
  • Midlothian, VA
  • NPI 1548636350
  NPD (past)

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1033835467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 ASHLAKE PKWY STE 200",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238322827",
            "telephone_number": "804-256-8282",
            "fax_number": "804-256-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8006 DISCOVERY DR STE 400",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232298600",
            "telephone_number": "804-256-8282",
            "fax_number": "804-256-8288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2035 Waterside Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Prince George",
            "state": "VA",
            "postal_code": "238751265",
            "country_code": "US",
            "telephone_number": "804-256-8282",
            "fax_number": "804-256-8288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7300 Ashlake Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "VA",
            "postal_code": "238322827",
            "country_code": "US",
            "telephone_number": "804-256-8282",
            "fax_number": "804-256-8288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYO",
        "first_name": "ANDREA",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024185102",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024185102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lynn Mauck, LPC, CSAC
• Maximal Business Healthcare Services, LLC
• Briann Maxwell
• Brian Michael Mayer, LCSW
• Sarah Mayfield
• Edwan Tifuh Mayo, FNP-BC
• Lawanda Mayo
• Lenise Benzina Mazyck, LCSW
• Joanna Woodward McAbee, PMHNP
• Sydney Kathleen McAdams, RESIDENT LPC

• Adult Health Nurse Practitioner in Henrico, VA
• Providers in Henrico, VA by specialty
• Adult Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.

Verify at the official NPI Registry.