Individual provider Active NPI

Amanda Rose Hallman, CNM

  • Advanced Practice Midwife
  • North Dinwiddie, VA
National Provider Identifier
1467038448
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
0024181063 Issued in VA
Practice address
4147 Henshaw Dr
North Dinwiddie, VA 23803-6807
Phone
(804) 712-5116
NPI assigned
Mar 22, 2021
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 0024181063 VA Primary

Addresses

Primary practice location

4147 Henshaw Dr
North Dinwiddie, VA 23803-6807

Mailing address

4147 Henshaw Dr
North Dinwiddie, VA 23803-6807
Phone (804) 712-5116

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211027002127 VA Practitioner - Certified Nurse Midwife (CNM) 1355739129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Virginia LLCGroup PAC ID 9436323342, 46 clinicians

Practice addresses (Care Compare)

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (800) 967-2289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Virginia, LLC CurrentSince Mar 6, 2024 Accepting new patients

Locations

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

Interoperability endpoints

  • Direct secure messaging: amanda.hallman.1@8042.direct.athenahealth.com

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, 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": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1467038448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4147 HENSHAW DR",
            "city": "NORTH DINWIDDIE",
            "state": "VA",
            "postal_code": "238036807",
            "telephone_number": "804-712-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4147 HENSHAW DR",
            "city": "NORTH DINWIDDIE",
            "state": "VA",
            "postal_code": "238036807",
            "telephone_number": "804-712-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLMAN",
        "first_name": "AMANDA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024181063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Dinwiddie, VA

Sources for this page

Verify at the official NPI Registry.