Active NPI
Amanda P. Monte
- Family Medicine Physician
- Midlothian, VA
National Provider Identifier
1912357104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101263350
- Practice address
- 11020 Hull Street Rd
Midlothian, VA 23112-3200 - Phone
- (804) 744-6310
- NPI assigned
- Jun 17, 2016
- Last updated
- Aug 9, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0116029355 | VA | |
| Family Medicine Physician | 207Q00000X | 0101263350 | VA | Primary |
Addresses
Primary practice location
11020 Hull Street Rd
Midlothian, VA 23112-3200
Mailing address
5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700
Other practice location 1
7101 Jahnke Rd
Mob #7151
Richmond, VA 23225-4017
Phone (804) 228-6729
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230923000281 | VA | Order and Referring Only - Family Practice | 6406140649 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101263350 | VA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1912357104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 COX RD",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230609263",
"telephone_number": "804-968-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11020 HULL STREET RD",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231123200",
"telephone_number": "804-744-6310"
}
],
"practiceLocations": [
{
"address_1": "7101 Jahnke Rd",
"address_2": "MOB #7151",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232254017",
"country_code": "US",
"telephone_number": "804-228-6729",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTE",
"first_name": "AMANDA",
"middle_name": "P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-17",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0116029355",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101263350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.