Individual provider Active NPI

Abigail Abene Amuquandoh

  • Acute Care Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1669951869
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024176215 Issued in VA
Practice address
9101 Stony Point Dr
Richmond, VA 23235-1979
Phone
(804) 330-9105
NPI assigned
Aug 8, 2018
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024176215 VA Primary

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 1

TypeEndpointUseAffiliation
FHIR URL fhir.virginiaurology.com

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
I20181126003273 VA Practitioner - Nurse Practitioner 6800140153 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Clark Alliance Services IncGroup PAC ID 8325475981, 27 clinicians
Virginia Urology CenterGroup PAC ID 2365339264, 89 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Urology Center CurrentSince Sep 17, 2018 Accepting new patients
Virginia Urology Center, P.C. CurrentSince Sep 17, 2018 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Sep 1, 2022 Accepting new patients
Clark Palliative Medicine Group CurrentSince Jul 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of Fredericksburg, LLC CurrentSince Jan 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Virginia - Richmond, LLC CurrentSince Jul 1, 2020 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Sep 1, 2022 Accepting new patients
Clark Alliance Services Inc CurrentSince Jul 1, 2024 Accepting new patients
Clark Pulmonary Group CurrentSince Jul 1, 2024 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

1700 Mills Rd
Ste B
Richmond, VA 23233

2220 Edward Holland Dr
Richmond, VA 23230
Phone (804) 678-7000

6900 Forest Ave
Ste 200
Richmond, VA 23230
Phone (804) 288-4137

9101 Stony Point Dr
Richmond, VA 23235

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

  • Direct secure messaging: abigail.amuquandoh.1@30293.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1669951869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 STONY POINT DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351979",
            "telephone_number": "804-330-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 STONY POINT DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351979",
            "telephone_number": "804-330-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMUQUANDOH",
        "first_name": "ABIGAIL",
        "middle_name": "ABENE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024176215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "fhir.virginiaurology.com",
            "affiliation": "N",
            "address_1": "9101 Stony Point Dr",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232351979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.