Active NPI
Amanda Baird Street
- Nurse Practitioner
- Haymarket, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024176366
- Practice address
- 15195 Heathcote Blvd
Haymarket, VA 20169-6242 - Phone
- (571) 261-3529
- Fax
- (703) 361-1811
- NPI assigned
- Apr 14, 2018
- Last updated
- Feb 24, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024176366 | NC | |
| Nurse Practitioner | 363L00000X | 0024176366 | VA | Primary |
Addresses
Primary practice location
15195 Heathcote Blvd
Haymarket, VA 20169-6242
Mailing address
PO Box 748613
Atlanta, GA 30384-8613
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | astreet679438@direct.novanthealth.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15195 Heathcote Blvd
Suite 320
Haymarket, VA 20169-6244
Phone (571) 261-3529
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024176366 | NC | MD | Nurse Practitioner |
| 0024176366 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uva Community Health Medical Group, LLC | Current | Accepting new patients | |
| Uva Community Health Medical Group, LLC | Current | Accepting new patients | |
| Uva Community Health Medical Group, LLC | Past | Accepting new patients |
Locations
4105 Lewis and Clark Dr
Charlottesvle, VA 22911
7915 Lake Manassas Dr
Ste 205
Gainesville, VA 20155
Phone (571) 261-3529
15195 Heathcote Blvd
Ste 320
Haymarket, VA 20169
Phone (571) 261-3529
8691 Stonewall Rd
Ste 118
Manassas, VA 20110
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.
-
- Multi-Specialty Clinic/Center
- Charlottesville, VA
- NPI 1598475741
-
dba UVA Health Obstetrics and Gynecology Haymarket
- Obstetrics & Gynecology Physician
- Haymarket, VA
- NPI 1790188597
-
dba UVA Health Bull Run Family Medicine Manassas
- Family Medicine Physician
- Manassas, VA
- NPI 1366744039
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UVA Health Haymarket Medical Center
- General Acute Care Hospital
- Haymarket, VA
- NPI 1124369137
-
dba UVA Health Prince William Medical Center
- General Acute Care Hospital
- Manassas, VA
- NPI 1417005760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1649767773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748613",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303848613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15195 HEATHCOTE BLVD",
"city": "HAYMARKET",
"state": "VA",
"postal_code": "201696242",
"telephone_number": "571-261-3529",
"fax_number": "703-361-1811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREET",
"first_name": "AMANDA",
"middle_name": "BAIRD",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-14",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "0024176366",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024176366",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "astreet679438@direct.novanthealth.org",
"affiliation": "N",
"address_1": "15195 Heathcote Blvd",
"city": "Haymarket",
"state": "VA",
"country_code": "US",
"postal_code": "201696242",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Haymarket, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.