Individual provider Active NPI

Amy Peery, FNP-C

  • Family Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1518686492
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024184947 Issued in VA
Practice address
2296 Opitz Blvd
Woodbridge, VA 22191-3300
Phone
(703) 670-3900
NPI assigned
Aug 24, 2022
Last updated
Aug 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024184947 VA Primary

Addresses

Primary practice location

2296 Opitz Blvd
Woodbridge, VA 22191-3300

Mailing address

712 Edwards Dr
Fredericksburg, VA 22405-2205
Phone (540) 845-1686

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
I20221024001808 VA Practitioner - Nurse Practitioner 1557737160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Virginia Commonwealth University, School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Center for Allergy and Asthma Inc.Group PAC ID 1456329168, 2 clinicians

Practice addresses (Care Compare)

2296 Opitz Blvd
Suite 401
Woodbridge, VA 22191-3347
Phone (703) 670-3900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Center for Allergy and Asthma Inc. CurrentSince Sep 15, 2022 Accepting new patients

Locations

1708 Fall Hill Ave
Ste 201
Fredericksburg, VA 22401
Phone (540) 374-1725

282 Choptank Rd
Ste 105
Stafford, VA 22556
Phone (540) 300-2013

2296 Opitz Blvd
Ste 401
Woodbridge, VA 22191
Phone (703) 670-3900

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": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1518686492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 EDWARDS DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052205",
            "telephone_number": "540-845-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2296 OPITZ BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913300",
            "telephone_number": "703-670-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEERY",
        "first_name": "AMY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024184947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.