Active NPI
Amber L Hamilton, CPNP-PC
- Pediatric Nurse Practitioner
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0024183882
- Practice address
- 601 Innovation Dr
Chesapeake, VA 23320-3869 - Phone
- (757) 668-2650
- NPI assigned
- Apr 9, 2022
- Last updated
- May 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0024183882 | VA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M.T. Curry Inc | Past | Accepting new patients | |
| Childrens Medical Group Inc | Past | Accepting new patients | |
| Childrens Medical Group Inc | Past | 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.
-
dba General Booth Pediatrics
- Pediatrics Physician
- Virginia Beach, VA
- NPI 1366597114
-
dba Tidewater Children's Associates
- Pediatrics Physician
- Norfolk, VA
- NPI 1538214713
-
- Primary Care Clinic/Center
- Chesapeake, VA
- NPI 1124200258
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.