Individual provider Active NPI

Amy Linnea Shantz, LSA

  • Surgical Assistant
  • Richmond, VA
National Provider Identifier
1457145138
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
0136000014 Issued in VA
Practice address
2621 Grove Ave
Richmond, VA 23220-4308
Phone
(804) 254-5250
Fax
(804) 254-5269
NPI assigned
Apr 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 0136000014 VA Primary

Addresses

Primary practice location

2621 Grove Ave
Richmond, VA 23220-4308

Mailing address

546 Rices Depot Rd
Rice, VA 23966-2605
Phone (434) 390-4566

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

State licenses

LicenseStateTypeSpecialty
0136000014VAMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1457145138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 RICES DEPOT RD",
            "city": "RICE",
            "state": "VA",
            "postal_code": "239662605",
            "telephone_number": "434-390-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 GROVE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204308",
            "telephone_number": "804-254-5250",
            "fax_number": "804-254-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANTZ",
        "first_name": "AMY",
        "middle_name": "LINNEA",
        "credential": "LSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "VA",
            "license": "0136000014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.