Individual provider Active NPI

Amber Lynn Jamison

  • Pediatric Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1386315935
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024192001 Issued in VA
Practice address
1000 E Broad St
Richmond, VA 23219-1930
Phone
(804) 828-2467
Fax
(804) 628-5849
NPI assigned
Sep 23, 2021
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024192001 VA Primary
Registered Nurse 163W00000X 0001274142 VA

Addresses

Primary practice location

1000 E Broad St
Richmond, VA 23219-1930

Mailing address

8407 Fedora Dr
Chesterfield, VA 23838-6256
Phone (540) 272-0568

Other practice location 1

8407 Fedora Dr
Chesterfield, VA 23838-6256
Phone (540) 272-0568

Other practice location 2

1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-2467

Other practice location 3

2924 Brook Rd
Richmond, VA 23220-1215
Phone (804) 828-2467

Other practice location 4

10528 Spotsylvania Ave
Fredericksburg, VA 22408-2710
Phone (804) 828-2467

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
I20250315000012 VA Practitioner - Nurse Practitioner 2668994930 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001274142VAMDRegistered Nurse
0024192001VAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians CurrentSince Feb 12, 2025 Accepting new patients
Virginia Commonwealth University Health System Authority Past Accepting new patients

Locations

10528 Spotsylvania Ave
Fredericksburg, VA 22408
Phone (540) 891-3173

1000 E Broad St
Richmond, VA 23219

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

2924 Brook Rd
Richmond, VA 23220
Phone (804) 321-7474

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

Organizations & group practices 2

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": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1386315935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8407 FEDORA DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238386256",
            "telephone_number": "540-272-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232191930",
            "telephone_number": "804-828-2467",
            "fax_number": "804-628-5849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8407 Fedora Dr",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "VA",
            "postal_code": "238386256",
            "country_code": "US",
            "telephone_number": "540-272-0568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985023",
            "country_code": "US",
            "telephone_number": "804-828-2467",
            "fax_number": "804-628-5849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2924 Brook Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232201215",
            "country_code": "US",
            "telephone_number": "804-828-2467",
            "fax_number": "804-628-5849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10528 Spotsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224082710",
            "country_code": "US",
            "telephone_number": "804-828-2467",
            "fax_number": "804-628-5849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024192001",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001274142",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.