NPIMap

Individual provider Active NPI

Amy Lea Roberts, CFNP

  • Family Nurse Practitioner
  • Richlands, VA
National Provider Identifier
1154302628
Registry record updated Mar 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024166071 Issued in VA
Practice address
6719 Gov. G. C. Peery Hwy.
Suite 3100
Richlands, VA 24641
Phone
(276) 964-9012
Fax
(276) 963-2865
NPI assigned
Nov 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2014

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 0024166071 VA Primary

Addresses

Primary practice location

6719 Gov. G. C. Peery Hwy.
Suite 3100
Richlands, VA 24641

Mailing address

PO Box 900
Suite 3100
Richlands, VA 24641-0900
Phone (276) 964-9102

Other identifiers 2

IdentifierTypeStateIssuer
010260621MedicaidVA
3810000576MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629001085 VA Practitioner - Nurse Practitioner 0042296048 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Helping Hands Hospice, Inc.Group PAC ID 6507036787, 3 clinicians

Practice addresses (Care Compare)

1113 Cedar Valley Dr
Cedar Bluff, VA 24609-9190
Phone (866) 964-4313

398 Clinic Rd
Cedar Bluff, VA 24609-9413
Phone (276) 964-6771

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024166071VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinch Valley Physicians Associates LLC Current Accepting new patients
Clinch Valley Physicians Associates LLC CurrentSince Jul 2, 2013 Accepting new patients
Clinch Professional Physician Services LLC CurrentSince Mar 1, 2016 Accepting new patients
Helping Hands Hospice, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Clinch Professional Physician Services LLC CurrentSince Mar 1, 2016 Accepting new patients
Clinch Valley Physicians Inc Past Accepting new patients
Clinch Valley Physicians Inc Past Accepting new patients
Clinch Valley Urology, LLC Past Accepting new patients

Locations

398 Clinic Rd
Cedar Bluff, VA 24609
Phone (276) 963-6600

111 Fashion Rd
Ste D
Pounding Mill, VA 24637
Phone (276) 325-0461

111 Fashion Rd
Pounding Mill, VA 24637

6719 Governor Gc Peery Hwy
Ste 2450
Richlands, VA 24641
Phone (276) 596-6786

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • Direct secure messaging: amy.roberts.1@30160.direct.athenahealth.com
  • Direct secure messaging: amy.roberts@vab.hcadirect.net

Organizations & group practices 8

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 3

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396051200000",
    "number": "1154302628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 900",
            "address_2": "SUITE 3100",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246410900",
            "telephone_number": "276-964-9102",
            "fax_number": "276-963-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6719 GOV. G. C. PEERY HWY.",
            "address_2": "SUITE 3100",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "24641",
            "telephone_number": "276-964-9012",
            "fax_number": "276-963-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "AMY",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2014-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024166071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010260621",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000576",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richlands, VA

Sources for this page

Verify at the official NPI Registry.