Individual provider Active NPI

Amanda Marie Ryan, FNP, DNP

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1124717640
Registry record updated May 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024186531 Issued in VA
Practice address
1744 Fury Way
Virginia Beach, VA 23456-6995
Phone
(757) 237-7307
NPI assigned
May 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 794027 NY
Family Nurse Practitioner 363LF0000X 0024186531 VA Primary

Addresses

Primary practice location

1744 Fury Way
Virginia Beach, VA 23456-6995

Mailing address

1744 Fury Way
Virginia Beach, VA 23456-6995
Phone (757) 237-7307

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
I20231115003794 VA Practitioner - Nurse Practitioner 5597122077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayview Physician Services PCGroup PAC ID 5597664201, 311 clinicians

Practice addresses (Care Compare)

725 Volvo Pkwy
Chesapeake, VA 23320-1602
Phone (757) 548-0076

Hospital & facility affiliations

  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120
  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
794027NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC CurrentSince Oct 1, 2023 Accepting new patients
Bayview Physician Services, PC CurrentSince Oct 1, 2023 Accepting new patients

Locations

3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500

3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

725 Volvo Pkwy
Ste 100
Chesapeake, VA 23320
Phone (757) 548-0076

725 Volvo Pkwy
Chesapeake, VA 23320
Phone (757) 548-0076

4868 Bridge Rd
Suffolk, VA 23435
Phone (757) 483-7113

3060 Godwin Blvd
Suffolk, VA 23434
Phone (757) 923-9660

1168 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 352-2020

2088 S Independence Blvd
Ste 103
Virginia Beach, VA 23453
Phone (757) 275-9331

Interoperability endpoints

  • Direct secure messaging: amanda.ryan@bayview.eclinicaldirectplus.com

Organizations & group practices 2

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

Hospital & facility affiliations 8

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": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684540800000",
    "number": "1124717640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 FURY WAY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234566995",
            "telephone_number": "757-237-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 FURY WAY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234566995",
            "telephone_number": "757-237-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "FNP, DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-20",
        "certification_date": "2023-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "794027",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024186531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.