Individual provider Active NPI

Amy Leah Frederick, MIDWIFE

  • Advanced Practice Midwife
  • Fredericksburg, VA
National Provider Identifier
1871926873
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
0024170677 Issued in VA
Practice address
4604 Spotsylvania Pkwy
Suite #310
Fredericksburg, VA 22408-7763
Phone
(540) 710-1700
Fax
(540) 710-1800
NPI assigned
Aug 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 0024170677 VA
Registered Nurse 163W00000X 0001165857 VA
Advanced Practice Midwife 367A00000X 0024170677 VA Primary

Addresses

Primary practice location

4604 Spotsylvania Pkwy
Suite #310
Fredericksburg, VA 22408-7763

Mailing address

9807 Foxton PL
Fredericksburg, VA 22408-9250
Phone (540) 898-7094

Other practice location 1

4000 Coliseum Dr
Hampton, VA 23666-5906
Phone (757) 827-2455

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151218002038 VA Practitioner - Certified Nurse Midwife (CNM) 9537460464 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001165857VAMDRegistered Nurse
0024170677VAMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Virginia, LLC CurrentSince Jul 15, 2023 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

Interoperability endpoints

  • Direct secure messaging: amy.frederick.1@8042.direct.athenahealth.com

Organizations & group practices 3

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": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1871926873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9807 FOXTON PL",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224089250",
            "telephone_number": "540-898-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 SPOTSYLVANIA PKWY",
            "address_2": "SUITE #310",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087763",
            "telephone_number": "540-710-1700",
            "fax_number": "540-710-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Coliseum Dr",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236665906",
            "country_code": "US",
            "telephone_number": "757-827-2455",
            "fax_number": "757-452-5773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "AMY",
        "middle_name": "LEAH",
        "credential": "MIDWIFE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "VA",
            "license": "0024170677",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001165857",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024170677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.