Individual provider Active NPI

Amanda Carol Stewart, DNP

  • Family Nurse Practitioner
  • Glen Allen, VA
National Provider Identifier
1275227118
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024187683 Issued in VA
Practice address
10412 Washington Hwy Ste 3
Glen Allen, VA 23059-1918
Phone
(888) 830-6538
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R222428 MD
Family Nurse Practitioner 363LF0000X 0024187683 VA Primary

Addresses

Primary practice location

10412 Washington Hwy Ste 3
Glen Allen, VA 23059-1918

Mailing address

10412 Washington Hwy Ste 3
Glen Allen, VA 23059-1918

Other practice location 1

9376 Atlee Station Rd
Mechanicsville, VA 23116-2602
Phone (804) 730-0990

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
I20231122002912 VA Practitioner - Nurse Practitioner 2769830132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Physicians IncGroup PAC ID 5597650804, 93 clinicians

Practice addresses (Care Compare)

9376 Atlee Station Rd
Mechanicsville, VA 23116-2602
Phone (804) 730-0990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R222428MDMDFamily Nurse Practitioner
0024187683VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Physicians Inc CurrentSince Sep 5, 2023 Accepting new patients
Virginia Physician Inc CurrentSince Sep 5, 2023 Accepting new patients
Virginia Physicians, Inc Current Accepting new patients

Locations

7255 Hanover Green Dr
Mechanicsvlle, VA 23111
Phone (804) 723-3766

9376 Atlee Station Rd
Mechanicsvlle, VA 23116
Phone (804) 730-0990

Interoperability endpoints

  • Direct secure messaging: amanda.stewart.1@14940.direct.athenahealth.com

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": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1275227118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10412 WASHINGTON HWY STE 3",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230591918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10412 WASHINGTON HWY STE 3",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230591918",
            "telephone_number": "888-830-6538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9376 Atlee Station Rd",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231162602",
            "country_code": "US",
            "telephone_number": "804-730-0990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "AMANDA",
        "middle_name": "CAROL",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R222428",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024187683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.