Individual provider Active NPI

Amber N Manche

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1063047074
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178480 Issued in VA
Practice address
6900 Forest Ave Ste 310
Richmond, VA 23230-1730
Phone
(804) 249-8888
NPI assigned
Mar 10, 2020
Last updated
Jan 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024178480 VA Primary

Addresses

Primary practice location

6900 Forest Ave Ste 310
Richmond, VA 23230-1730

Mailing address

2306 Leah Rd
Richmond, VA 23230-2107
Phone (804) 516-9330

Other practice location 1

2306 Leah Rd
Richmond, VA 23230-2107
Phone (804) 516-9330

Other practice location 2

75 State St
Boston, MA 02109-1827
Phone (617) 204-3500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200409002841 VA Practitioner - Nurse Practitioner 8820427024 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regenerative Medicine of Richmond LLCGroup PAC ID 3577973155, 2 clinicians

Practice addresses (Care Compare)

8639 Mayland Dr
Suite 105
Richmond, VA 23294-4752
Phone (804) 740-7105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Regenerative Medicine of Richmond LLC Family CurrentSince Mar 1, 2023 Accepting new patients
Signify Health, LLC CurrentSince Dec 1, 2021 Accepting new patients
Mint Chiropractic Inc CurrentSince Mar 1, 2023 Accepting new patients
Feel Better Global LLC PastSince Sep 29, 2024 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

8639 Mayland Dr
Ste 105
Richmond, VA 23294
Phone (804) 740-7105

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1063047074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 LEAH RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302107",
            "telephone_number": "804-516-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 FOREST AVE STE 310",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301730",
            "telephone_number": "804-249-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2306 Leah Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232302107",
            "country_code": "US",
            "telephone_number": "804-516-9330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 State St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021091827",
            "country_code": "US",
            "telephone_number": "617-204-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCHE",
        "first_name": "AMBER",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.