Celestina Amlalo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024175523 Issued in VA

Practice address

11458 Kings Hwy
King George, VA 22485-4200

Phone

(866) 389-2727

NPI assigned

Oct 18, 2017

Last updated

Oct 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwestern Community Services BoardGroup PAC ID 2769371251, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: celestina.amlalo.1@18731.direct.athenahealth.com

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.

• Northwestern Community Services Board

  • Community/Behavioral Health Agency
  • Front Royal, VA
  • NPI 1215930573
  Medicare reassignment Care Compare group
• Evercare Home Health Services LLC

  • Home Health Agency
  • Spotsylvania, VA
  • NPI 1952248270
  NPD Authorized official

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634947200000",
    "number": "1740791706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11458 KINGS HWY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224854200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11458 KINGS HWY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224854200",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "158 Front Royal Pike Ste 200",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226024324",
            "country_code": "US",
            "telephone_number": "540-667-8888",
            "fax_number": "540-667-5663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "152 Deer Run Rd",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245402862",
            "country_code": "US",
            "telephone_number": "434-835-4601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMLALO",
        "first_name": "CELESTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2021-10-23",
        "certification_date": "2021-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175523",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "2021097680",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Integrative Medicine LLC
• Susan Mary Aguilera, ARNP
• Katheine Elisabeth Allwine, ATC, LAT
• Rachel Brittany Ambrose, ACNPC-AG
• Amerihealth Care, LLC (Fox Towne Adult Care Center)
• Amy Dickerson, Rd, LLC
• Bo Lam An, PHARM D
• Kelley G Aschenbrenner, LPC
• At Home Comfort
• Yeu Jin Baik, DDS

• Family Nurse Practitioner in King George, VA
• Providers in King George, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2021; 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.

Verify at the official NPI Registry.