Individual provider Active NPI

Amy L Gallardo, FNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1821547027
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024174047 Issued in VA
Practice address
780 Lynnhaven Pkwy Ste 340
Virginia Beach, VA 23452-7361
Phone
(804) 207-6737
NPI assigned
Sep 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024174047 VA
Registered Nurse 163W00000X 0001230676 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024174047 VA Primary

Addresses

Primary practice location

780 Lynnhaven Pkwy Ste 340
Virginia Beach, VA 23452-7361

Mailing address

780 Lynnhaven Pkwy Ste 340
Virginia Beach, VA 23452-7361
Phone (804) 207-6737

Other practice location 1

816 Greenbrier Cir Ste 100
Chesapeake, VA 23320-2645
Phone (804) 207-6737

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
I20161109000392 VA Practitioner - Nurse Practitioner 3375822661 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commonwealth Counseling Associates IncGroup PAC ID 0941288583, 207 clinicians

Practice addresses (Care Compare)

816 Greenbrier Cir
Suite 100
Chesapeake, VA 23320-2645
Phone (757) 301-8747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001230676VAMDRegistered Nurse
0024174047VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview LLC CurrentSince May 2, 2022 Accepting new patients
Brightview LLC CurrentSince May 2, 2022 Accepting new patients
Commonwealth Counseling Associates Inc Psychiatric/Mental Health CurrentSince Jun 5, 2023 Accepting new patients
Inspiration Health Addiction Treatment Center, LLC CurrentSince Jun 20, 2022 Accepting new patients
LHCG Cxcix, LLC PastSince Jun 1, 2021 Accepting new patients

Locations

615 Elsinore Pl
Ste 200
Cincinnati, OH 45202
Phone (513) 639-2800

816 Greenbrier Cir
Ste 100
Chesapeake, VA 23320
Phone (757) 301-8747

3704 Old Forest Rd
Lynchburg, VA 24501

9202 Center Oak Ct
Mechanicsvlle, VA 23116
Phone (804) 639-1112

1711 Church St
Ste B
Norfolk, VA 23504
Phone (757) 590-4428

1345 Plantation Rd NE
Roanoke, VA 24012
Phone (513) 843-7063

101 N Lynnhaven Rd
Virginia Beach, VA 23452
Phone (757) 222-4944

780 Lynnhaven Pkwy
Ste 340
Virginia Beach, VA 23452
Phone (757) 301-8747

1729 Wildwood Dr
Ste 103
Virginia Beach, VA 23454
Phone (757) 481-3179

101 N Lynnhaven Rd
Ste 100
Virginia Beach, VA 23452
Phone (757) 264-9957

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.amygallardo@134000.advancedmd-direct.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1821547027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 LYNNHAVEN PKWY STE 340",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527361",
            "telephone_number": "804-207-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 LYNNHAVEN PKWY STE 340",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527361",
            "telephone_number": "804-207-6737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "816 Greenbrier Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233202645",
            "country_code": "US",
            "telephone_number": "804-207-6737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLARDO",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "FNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174047",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001230676",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024174047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.