Active NPI
Agnes Delores Dawes, NURSE PRACTITIONER
- Acute Care Nurse Practitioner
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 0024185275
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0024185275 | VA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Surgeons of Richmond, Inc. | Current | 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.
-
- Ophthalmology Physician
- Richmond, VA
- NPI 1669480448
-
- Ophthalmology Physician
- Richmond, VA
- NPI 1699270496
-
- Ambulatory Surgical Clinic/Center
- Richmond, VA
- NPI 1053336602
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.