Abigail Abene Amuquandoh
Individual provider Active NPI Acute Care Nurse Practitioner · Richmond, VA
NPI 1669951869 · NPPES record last updated Oct 28, 2020
Key facts
- NPI
- 1669951869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 0024176215 (VA)
- Practice address
- 9101 Stony Point Dr
Richmond, VA 23235-1979 - Phone
- (804) 330-9105
- NPI assigned
- Aug 8, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 20
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Clark Alliance Services Inc
Emergency Medicine Associates P.a., P.C.
Virginia Urology Center
Practice addresses (Care Compare)
2220 Edward Holland Dr
Richmond, VA 23230-2519
Phone (757) 276-5022
8260 Atlee Rd
Mechanicsville, VA 23116-1844
Phone (240) 686-2300
9101 Stony Point Dr
Richmond, VA 23235-1979
Phone (804) 330-9105
Hospital & facility affiliations
- Bon Secours Southside Medical Center
- CJW Medical Center
- Bon Secours St Marys Hospital
- Bon Secours Memorial Regional Medical Center
- Bon Secours St Francis Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181126003273 | VA | Practitioner - Nurse Practitioner | 6800140153 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024176215 | VA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Virginia - Richmond, LLC | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of Fredericksburg, LLC | Current |
Accepting new patients | |
| Virginia Urology Center | Current |
Accepting new patients | |
| Clark Palliative Medicine Group | Current |
Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current |
Accepting new patients | |
| Clark Alliance Services Inc | Current |
Accepting new patients | |
| Virginia Urology Center, P.C. | Current |
Accepting new patients | |
| Emergency Medicine Associates, P.a.,P.C. | Current |
Accepting new patients | |
| Clark Pulmonary Group | Current |
Accepting new patients |
Locations
2501 Parkers Ln
Fl 4
Alexandria, VA 22306
Phone (757) 276-5020
6 Doctors Dr
Emporia, VA 23847
Phone (434) 336-1900
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
8152 Pleasant Grove Rd
Mechanicsville, VA 23116
Phone (804) 730-5023
8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000
500 J Clyde Morris Blvd
#4
Newport News, VA 23601
Phone (757) 276-5020
500 J Clyde Morris Blvd
Ste 4
Newport News, VA 23601
2025 Waterside Rd
Ste 105
Prince George, VA 23875
9101 Stony Point Dr
Richmond, VA 23235
2220 Edward Holland Dr
Richmond, VA 23230
Phone (804) 678-7000
6900 Forest Ave
Ste 200
Richmond, VA 23230
Phone (804) 288-4137
1700 Mills Rd
Ste B
Richmond, VA 23233
3575 Bridge Rd
Ste 8
Suffolk, VA 23435
Phone (757) 632-7107
1396 Tappahannock Blvd
#17
Tappahannock, VA 22560
1396 Tappahannock Blvd
#B
Tappahannock, VA 22560
Phone (804) 288-1953
Interoperability endpoints
- abigail.amuquandoh.1@30293.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 0024176215 | VA | Yes |
Addresses
Primary practice location
9101 Stony Point Dr
Richmond, VA 23235-1979
Mailing address
9101 Stony Point Dr
Richmond, VA 23235-1979
Phone (804) 330-9105
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | fhir.virginiaurology.com |
Other providers in Richmond, VA
- Ampersex.VA PC
- Amplify Counseling and Coaching
- Sahaja Ampolu
- John Kweku Ampomah
- Ams Virginia Lab LLC
- Nadia M Anabtawi
- Alexander Nicholas Anama
- Ambika Anand
- Rahul Jagdish Anand
- Ananda B. Chellappan Inc
All providers in Richmond, VA · Acute Care Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.