Individual provider Active NPI

Amber L Hamilton, CPNP-PC

  • Pediatric Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1538801642
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024183882 Issued in VA
Practice address
601 Innovation Dr
Chesapeake, VA 23320-3869
Phone
(757) 668-2650
NPI assigned
Apr 9, 2022
Last updated
May 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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 0024183882 VA Primary
Primary Care Nurse Practitioner 363LP2300X 0024183882 VA

Addresses

Primary practice location

601 Innovation Dr
Chesapeake, VA 23320-3869

Mailing address

206 Widgeon CT
Suffolk, VA 23434-8092
Phone (757) 777-8104

Other practice location 1

5835 Harbour View Blvd Ste B
Suffolk, VA 23435-2601
Phone (757) 668-6050

Other practice location 2

171 Kempsville Rd Bldg B
Norfolk, VA 23502-4732
Phone (757) 668-6500

Other names 1

  • Amber Lynn Goodwin Former name

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024183882VAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M.T. Curry Inc Past Accepting new patients
Childrens Medical Group Inc Past Accepting new patients
Childrens Medical Group Inc PastSince Apr 17, 2022 Accepting new patients

Organizations & group practices 3

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": "1649462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1538801642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 WIDGEON CT",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348092",
            "telephone_number": "757-777-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 INNOVATION DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203869",
            "telephone_number": "757-668-2650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5835 Harbour View Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234352601",
            "country_code": "US",
            "telephone_number": "757-668-6050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "171 Kempsville Rd Bldg B",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235024732",
            "country_code": "US",
            "telephone_number": "757-668-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "AMBER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-09",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024183882",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024183882",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "GOODWIN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.