Active NPI
Amy Reed Blevins, LNP
- Nurse Practitioner
- Wytheville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024165275
- Practice address
- 770 W Ridge Rd
Suite 220
Wytheville, VA 24382-1046 - Phone
- (276) 223-3329
- Fax
- (276) 223-0478
- NPI assigned
- Apr 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024165275 | VA | Primary |
Addresses
Primary practice location
770 W Ridge Rd
Suite 220
Wytheville, VA 24382-1046
Mailing address
770 W Ridge Rd
Suite 220
Wytheville, VA 24382-1046
Phone (276) 223-3329
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00017719 | Other | MEDICARE RAILROAD | |
| C04810 | Other | VA | MEDICARE GROUP |
| 004945298 | Medicaid | VA | |
| 01451713 | Other | VA | AMERGROUP |
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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
216 Hospital Ave
Marion, VA 24354-3157
Phone (276) 783-8185
750 W Ridge Rd
Wytheville, VA 24382-1187
Phone (276) 223-3201
770 W Ridge Rd
Wytheville, VA 24382-1187
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Rogers Community Services | Current | Accepting new patients |
Locations
216 Hospital Ave
Marion, VA 24354
Phone (276) 783-8185
770 W Ridge Rd
Ste 220
Wytheville, VA 24382
Phone (276) 223-3200
770 W Ridge Rd
Wytheville, VA 24382
Phone (276) 223-3200
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wytheville, VA
- NPI 1255365599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1841254018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 W RIDGE RD",
"address_2": "SUITE 220",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "243821046",
"telephone_number": "276-223-3329",
"fax_number": "276-223-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 W RIDGE RD",
"address_2": "SUITE 220",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "243821046",
"telephone_number": "276-223-3329",
"fax_number": "276-223-0478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEVINS",
"first_name": "AMY",
"middle_name": "REED",
"credential": "LNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024165275",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00017719",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "C04810",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004945298",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERGROUP",
"identifier": "01451713",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wytheville, VA
- Angela Berry, LPC
- Bio-Medical Applications of Virginia, Inc. (Bma Wythe)
- Birdmont Health Care, LLC (Carrington Place @ Wytheville)
- Sherry Blackburn, LPC
- Bland Ministry Center and Dental Clinic
- Blue Ridge Alternatives, LLC
- Blue Ridge Chiropractic Clinic P.C.
- Teresa Ann Boswell, MA CCC SLP
- Jessica L. Bralley, PHARM D.,RPH
- Hayley Lawrence Brennan, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.