Amy Beyer LLC
Organization Active NPI Primary Care Clinic/Center · Palmyra, VA
NPI 1114560653 · NPPES record last updated Jan 29, 2020
Key facts
- NPI
- 1114560653
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- AMY BEYER LLC
- Practice address
- 2611 Thomas Jefferson Pkwy
Palmyra, VA 22963-5000 - Phone
- (434) 962-0560
- NPI assigned
- Oct 28, 2019
- Organization subpart
- No
Authorized official
- Name
- Mrs. Amy Beyer, FNP-C
- Title
- Family Nurse Practitioner, Owner
- Phone
- (434) 962-0560
Practitioners 4
-
Amy Beyer, FNP-C
-
Kelly Lynn Caniglia, DNP, FNP-C
-
Jessica Lee Digiorgio, DNP, FNP-C
-
Danielle Kardell, APRN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2226212 | Amy Beyer LLC | Certificate of waiver | May 26, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200309001317 | VA | Part B Supplier - Clinic/Group Practice | 6709214687 |
Receives reassigned benefits from 4 practitioners Practice locations: Palmyra, VA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
2611 Thomas Jefferson Pkwy
Palmyra, VA 22963-5000
Mailing address
2611 Thomas Jefferson Pkwy
Palmyra, VA 22963-5000
Phone (434) 962-0560
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abeyerllc@outlook.com | Direct |
Other providers in Palmyra, VA
- Stephanie Anne Adams
- Adjustments for Life PC
- John Rexis Aguilar
- Amaya Alther
- Getachew Ali Amedie
- Caroline Bach
- Travis Bailey
- Randolph Marshall Baker
- Heather Ann Barlow
- Bates Counseling & Consultation Services LLC
All providers in Palmyra, VA · Primary Care Clinic/Center in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2020. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.