Individual provider Active NPI

Julia Gyampoh

  • Gerontology Nurse Practitioner
  • Charlottesville, VA
National Provider Identifier
1073986162
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AC003742 Issued in MD
Practice address
1240 Lee St
Charlottesville, VA 22908-0816
Phone
(434) 249-3339
Fax
(434) 244-7526
NPI assigned
Nov 11, 2015
Last updated
Apr 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AC003742 MD
Gerontology Nurse Practitioner 363LG0600X AC003742 MD Primary

Addresses

Primary practice location

1240 Lee St
Charlottesville, VA 22908-0816

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007
Phone (434) 295-1000

Other practice location 1

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-3010

Other names 1

  • Julia Gyampoh Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgyampoh227001@direct.healthsystem.virginia.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20210702000789 MD Practitioner - Nurse Practitioner 0244534782 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upper Chesapeake Hematology and Oncology Services, LLCGroup PAC ID 8820276397, 12 clinicians

Practice addresses (Care Compare)

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-3010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AC003742MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc General Acute Care Hospital Current Accepting new patients
Sinai Hospital of Baltimore, Inc. General Acute Care Hospital CurrentSince Jun 21, 2021 Accepting new patients
Sinai Hospital of Baltimore Inc General Acute Care Hospital CurrentSince Jun 21, 2021 Accepting new patients
University of Maryland Oncology Associates, PA CurrentSince Jan 23, 2023 Accepting new patients
Upper Chesapeake Hematology and Oncology Services, LLC CurrentSince Apr 18, 2022 Accepting new patients
University of Maryland Oncology Associates, PA CurrentSince Jan 23, 2023 Accepting new patients

Locations

650 McHenry Rd
Ste 3100
Aberdeen, MD 21001
Phone (443) 843-7800

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

2401 W Belvedere Ave
Baltimore, MD 21215

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

9114 Philadelphia Rd
Ste 208
Rosedale, MD 21237
Phone (410) 687-5300

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1073986162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007",
            "telephone_number": "434-295-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 LEE ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080816",
            "telephone_number": "434-249-3339",
            "fax_number": "434-244-7526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Upper Chesapeake Dr",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210144324",
            "country_code": "US",
            "telephone_number": "443-643-3010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GYAMPOH",
        "first_name": "JULIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-11",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "AC003742",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "AC003742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgyampoh227001@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1240 Lee St",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229080816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "GYAMPOH",
            "credential": "RN MSN AG-ACNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.