Active NPI
Amabel C Viniegra-Sibal, M.D.
- Pediatrics Physician
- Colonial Heights, VA
National Provider Identifier
1346357621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101054319
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5871113 | Other | VA | AETNA |
| 9720166 | Other | VA | CIGNA |
| 010038677 | Medicaid | VA | |
| 463943 | Other | VA | ANTHEM |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0101054319 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Pediatrics PC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- amabel.viniegra-sibal.1@6906.direct.athenahealth.com
- 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.
-
- Pediatrics Physician
- Colonial Heighs, VA
- NPI 1649446535
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.