Individual provider Active NPI

Amber Manipol, FNP

  • Family Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1124917943
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024195287 Issued in VA
Practice address
2250 White House CV
Newport News, VA 23602-8819
Phone
(757) 510-5036
NPI assigned
Jun 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024195287 VA Primary

Addresses

Primary practice location

2250 White House CV
Newport News, VA 23602-8819

Mailing address

2250 White House CV
Newport News, VA 23602-8819
Phone (757) 510-5036

Other practice location 1

7151 Richmond Rd Ste 405
Williamsburg, VA 23188-7234
Phone (757) 564-3700

Other names 1

  • Amber Blalock Former name

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
I20251202002731 VA Practitioner - Nurse Practitioner 3274026935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidewater Physicians Multispecialty Group, PCGroup PAC ID 2860398526, 259 clinicians

Practice addresses (Care Compare)

7151 Richmond Rd
Suite 405
Williamsburg, VA 23188-7234
Phone (757) 564-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024195287VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physicians Multispecialty Group PC CurrentSince Dec 1, 2025 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Dec 1, 2025 Accepting new patients

Locations

101 York Crossing Rd
#A
Grafton, VA 23692
Phone (757) 898-7737

860 Omni Blvd
Newport News, VA 23606
Phone (757) 369-8138

827 Diligence Dr
Ste 100
Newport News, VA 23606

7151 Richmond Rd
Ste 405
Williamsburg, VA 23188
Phone (757) 564-3700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

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.

NPI Registry JSON

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1124917943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 WHITE HOUSE CV",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236028819",
            "telephone_number": "757-510-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 WHITE HOUSE CV",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236028819",
            "telephone_number": "757-510-5036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7151 Richmond Rd Ste 405",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231887234",
            "country_code": "US",
            "telephone_number": "757-564-3700",
            "fax_number": "757-564-8515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANIPOL",
        "first_name": "AMBER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024195287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "BLALOCK",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.