Individual provider Active NPI

Amanda Marie Townsend, PA

  • Physician Assistant
  • Norfolk, VA
National Provider Identifier
1386023091
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
100 Kingsley LN
Suite 400
Norfolk, VA 23505-4604
Phone
(757) 889-5335
Fax
(757) 889-5356
NPI assigned
May 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

100 Kingsley LN
Suite 400
Norfolk, VA 23505-4604

Mailing address

7007 Harbour View Blvd
Suite 108
Suffolk, VA 23435-3657
Phone (757) 215-2784

Other names 1

  • Amanda Marie Roller Former name

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
I20150825003285 VA Practitioner - Physician Assistant 0345556171 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Meridian Medical LLC CurrentSince Mar 12, 2026 Accepting new patients
Chesapeake Diagnostic Imaging Centers, LLC CurrentSince Mar 12, 2026 Accepting new patients
Chesapeake Diagnostic Imaging Centers, LLC CurrentSince Mar 12, 2026 Accepting new patients
First Meridian Medical LLC CurrentSince Mar 12, 2026 Accepting new patients

Locations

1034 Battlefield Blvd S
#110
Chesapeake, VA 23322
Phone (757) 671-1144

1554 River Birch Run N
Chesapeake, VA 23320
Phone (757) 671-1144

Organizations & group practices 4

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": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1386023091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 HARBOUR VIEW BLVD",
            "address_2": "SUITE 108",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353657",
            "telephone_number": "757-215-2784",
            "fax_number": "757-215-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KINGSLEY LN",
            "address_2": "SUITE 400",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054604",
            "telephone_number": "757-889-5335",
            "fax_number": "757-889-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "ROLLER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.