Amy L Doty, FNP-BC
Individual provider Active NPI Nurse Practitioner · Dublin, VA
NPI 1083057012 · NPPES record last updated Apr 14, 2021
Key facts
- NPI
- 1083057012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 0024171073 (VA)
- Practice address
- 453 Cleburne Blvd
Dublin, VA 24084 - Phone
- (540) 629-3751
- NPI assigned
- Apr 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160218002159 | VA | Practitioner - Nurse Practitioner | 2961707559 | Practice locations: Pulaski, VA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024171073 | VA | MD | Nurse Practitioner |
| 76215 | WV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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 | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 76215 | WV | |
| Nurse Practitioner | 363L00000X | 0024171073 | VA | Yes |
Addresses
Primary practice location
453 Cleburne Blvd
Dublin, VA 24084
Mailing address
453 Cleburne Blvd
Dublin, VA 24084
Phone (540) 629-3751
Other providers in Dublin, VA
- Community Healthcare of Dublin LLC
- Mary Cox
- Paul Joseph D'Amico
- Dee James Danner
- Sherry Deeb
- Dr Scott R Brandau Optometrist PC
- Dublin Family Practice PC
- Dublin Pharmacy
- Linda Taylor Ely
- Employees Pharmacy LLC
All providers in Dublin, VA · Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.