Individual provider Active NPI

Dolly Linda Ebrottie, FNP-C

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1275348781
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024194497 Issued in VA
Practice address
2809 North Ave
Richmond, VA 23222-3647
Phone
(804) 780-0840
NPI assigned
Feb 11, 2025
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 0024194497 VA Primary

Addresses

Primary practice location

2809 North Ave
Richmond, VA 23222-3647

Mailing address

910 Goddin St Apt 218
Richmond, VA 23231-3208
Phone (346) 529-4090

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
I20251030004175 VA Practitioner - Nurse Practitioner 8123517968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

719 N 25TH St
Richmond, VA 23223-6539
Phone (804) 780-0840

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024194497VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vernon J Harris East End Community Health Center Current Accepting new patients
Vernon J Harris East End Community Health Center CurrentSince Aug 18, 2025 Accepting new patients
Vernon J Harris East End Community Health Center CurrentSince Aug 18, 2025 Accepting new patients

Locations

2025 E Main St
Ste 105
Richmond, VA 23223
Phone (804) 253-1968

2809 North Ave
Richmond, VA 23222
Phone (804) 321-2403

2809 North Ave
Ste 206
Richmond, VA 23222
Phone (804) 525-1818

5855 Bremo Rd
Richmond, VA 23226
Phone (804) 288-6258

719 N 25th St
Richmond, VA 23223
Phone (804) 253-1969

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1275348781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 GODDIN ST APT 218",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232313208",
            "telephone_number": "346-529-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 NORTH AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232223647",
            "telephone_number": "804-780-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBROTTIE",
        "first_name": "DOLLY",
        "middle_name": "LINDA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024194497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.