Individual provider Active NPI

Amabel C Viniegra-Sibal, M.D.

  • Pediatrics Physician
  • Colonial Heights, VA
National Provider Identifier
1346357621
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101054319 Issued in VA
Practice address
301 Jennick Dr
Suite a
Colonial Heights, VA 23834-4904
Phone
(804) 524-0055
Fax
(804) 524-0069
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101054319 VA Primary

Addresses

Primary practice location

301 Jennick Dr
Suite a
Colonial Heights, VA 23834-4904

Mailing address

301 Jennick Dr
Suite a
Colonial Heights, VA 23834-4904
Phone (804) 524-0055

Other identifiers 4

IdentifierTypeStateIssuer
5871113OtherVAAETNA
9720166OtherVACIGNA
010038677MedicaidVA
463943OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101054319VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Pediatrics PC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amabel.viniegra-sibal.1@6906.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6906/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1346357621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 JENNICK DR",
            "address_2": "SUITE A",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238344904",
            "telephone_number": "804-524-0055",
            "fax_number": "804-524-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 JENNICK DR",
            "address_2": "SUITE A",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238344904",
            "telephone_number": "804-524-0055",
            "fax_number": "804-524-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINIEGRA-SIBAL",
        "first_name": "AMABEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101054319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5871113",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9720166",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010038677",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "463943",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.