Individual provider Active NPI

Agnes Delores Dawes, NURSE PRACTITIONER

  • Acute Care Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1154032506
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024185275 Issued in VA
Practice address
400 Westhampton Sta
Richmond, VA 23226-3330
Phone
(804) 287-4200
Fax
(804) 282-4048
NPI assigned
Dec 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024185275 VA Primary

Addresses

Primary practice location

400 Westhampton Sta
Richmond, VA 23226-3330

Mailing address

400 Westhampton Sta
Richmond, VA 23226-3330
Phone (804) 287-4200

Other practice location 1

7900 Shrader Rd
Henrico, VA 23294-4215
Phone (804) 288-1953

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
I20250213002765 VA Practitioner - Nurse Practitioner 1153791306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Surgeons of Richmond IncGroup PAC ID 5799778320, 44 clinicians

Practice addresses (Care Compare)

400 Westhampton Station
Richmond, VA 23226-3330
Phone (804) 287-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
0024185275VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Surgeons of Richmond, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Virginia Eye Institute Inc Past Accepting new patients

Locations

611 Watkins Centre Pkwy
Ste 100
Midlothian, VA 23114
Phone (804) 287-4412

2015 Waterside Rd
Prince George, VA 23875
Phone (804) 733-7300

400 Westhampton Sta
Richmond, VA 23226

6946 Forest Ave
Ste 100
Richmond, VA 23230
Phone (804) 287-2020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1154032506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WESTHAMPTON STA",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263330",
            "telephone_number": "804-287-4200",
            "fax_number": "804-282-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WESTHAMPTON STA",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263330",
            "telephone_number": "804-287-4200",
            "fax_number": "804-282-4048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 Shrader Rd",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232944215",
            "country_code": "US",
            "telephone_number": "804-288-1953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWES",
        "first_name": "AGNES",
        "middle_name": "DELORES",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024185275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.