Individual provider Active NPI

Amy L Doty, FNP-BC

  • Nurse Practitioner
  • Dublin, VA
National Provider Identifier
1083057012
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024171073 Issued in VA
Practice address
453 Cleburne Blvd
Dublin, VA 24084
Phone
(540) 629-3751
NPI assigned
Apr 9, 2013
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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 76215 WV
Nurse Practitioner 363L00000X 0024171073 VA Primary

Addresses

Primary practice location

453 Cleburne Blvd
Dublin, VA 24084

Mailing address

453 Cleburne Blvd
Dublin, VA 24084
Phone (540) 629-3751

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
I20160218002159 VA Practitioner - Nurse Practitioner 2961707559 Practice locations: Pulaski, VA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76215WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ralph J. Hasspieler, M.D. P.C. Past Accepting new patients
Yung C. Chan, M.D. P.C. Past Accepting new patients
Allergy & Asthma Associates of the NRV PLLC PastSince Jul 1, 2018 Accepting new patients

Organizations & group practices 3

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1083057012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 CLEBURNE BLVD",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "24084",
            "telephone_number": "540-629-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 CLEBURNE BLVD",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "24084",
            "telephone_number": "540-629-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTY",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2021-04-14",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "76215",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024171073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, VA

Sources for this page

Verify at the official NPI Registry.