NPIMap

Individual provider Active NPI

Amy M Stinnette, PA

  • Physician Assistant
  • Suffolk, VA
National Provider Identifier
1861539611
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110001902 Issued in VA
Practice address
5838 Harbour View Blvd
Suite 105
Suffolk, VA 23435-2663
Phone
(757) 484-0215
Fax
(757) 484-6792
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110001902 VA Primary

Addresses

Primary practice location

5838 Harbour View Blvd
Suite 105
Suffolk, VA 23435-2663

Mailing address

5900 Lake Wright Dr
Suite 300
Norfolk, VA 23502-1871
Phone (757) 213-5700

Other identifiers 1

IdentifierTypeStateIssuer
0110001902OtherVASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100901000087 VA Practitioner - Physician Assistant 5890819619

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Oncology AssociatesGroup PAC ID 2769395797, 100 clinicians

Practice addresses (Care Compare)

3910 Bridge Rd
Suite 400
Suffolk, VA 23435-1195
Phone (757) 484-0215

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110001902VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Oncology Associates CurrentSince Aug 2, 2010 Accepting new patients
Virginia Oncology Associates CurrentSince Aug 2, 2010 Accepting new patients

Locations

744 Battlefield Blvd N
#200
Chesapeake, VA 23320
Phone (757) 549-4403

3000 Coliseum Dr
Ste 104
Hampton, VA 23666
Phone (757) 827-9400

1051 Loftis Blvd
Ste 100
Newport News, VA 23606
Phone (757) 873-9400

6251 E Virginia Beach Blvd
Ste 200
Norfolk, VA 23502
Phone (757) 466-8683

6350 Center Dr
Ste 200
Norfolk, VA 23502

5900 Lake Wright Dr
Norfolk, VA 23502
Phone (757) 466-8683

5900 Lake Wright Dr
Ste 300
Norfolk, VA 23502
Phone (757) 466-8683

3910 Bridge Rd
Ste 400
Suffolk, VA 23435
Phone (757) 484-0215

2790 Godwin Blvd
Ste 101
Suffolk, VA 23434
Phone (757) 539-0670

5838 Harbour View Blvd
Ste 105
Suffolk, VA 23435
Phone (757) 484-0215

1950 Glenn Mitchell Dr
Ste 102
Virginia Beach, VA 23456
Phone (757) 368-0437

500 Sentara Cir
Ste 203
Williamsburg, VA 23188
Phone (757) 229-2236

Interoperability endpoints

  • Direct secure messaging: amy.stinnette@voa.ikm.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1861539611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 LAKE WRIGHT DR",
            "address_2": "SUITE 300",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235021871",
            "telephone_number": "757-213-5700",
            "fax_number": "757-213-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5838 HARBOUR VIEW BLVD",
            "address_2": "SUITE 105",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352663",
            "telephone_number": "757-484-0215",
            "fax_number": "757-484-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINNETTE",
        "first_name": "AMY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0110001902",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.