Active NPI
Amanda Jean Martindale, DNAP, CRNA
- Certified Registered Nurse Anesthetist
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024183746
- Practice address
- 1501 Maple Ave Ste 300
Richmond, VA 23226-2553 - Phone
- (804) 287-7878
- NPI assigned
- Feb 17, 2022
- Last updated
- Feb 17, 2022
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024183746 | VA | Primary |
Addresses
Primary practice location
1501 Maple Ave Ste 300
Richmond, VA 23226-2553
Mailing address
6225 N State Highway 161 Ste 200
Irving, TX 75038-2241
Phone (214) 687-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10730 Main St
Fairfax, VA 22030-3704
Phone (703) 691-0670
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024183746 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| Northstar Anesthesia of Virginia, LLC | Current | Accepting new patients | |
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| Ambulatory Anesthesia Services Inc | Current | Accepting new patients | |
| Professional Anesthesia Group, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Old Dominion Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
6225 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 687-0496
1800 N Beauregard St
Ste 200
Alexandria, VA 22311
Phone (703) 823-3750
2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000
3914 Centreville Rd
Ste 350
Chantilly, VA 20151
Phone (703) 263-3393
1139 E High St
Ste 105
Charlottesvle, VA 22902
Phone (434) 817-8484
736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124
541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700
10730 Main St
Fairfax, VA 22030
Phone (703) 491-9500
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
10449 White Granite Dr
Unit 129
Oakton, VA 22124
1501 Maple Ave
Ste 300
Richmond, VA 23226
Phone (804) 287-7878
Organizations & group practices 6
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.
-
dba Ambulatory Anesthesia Service
- Anesthesiology Physician
- Fairfox, VA
- NPI 1548363740
DC
-
- Anesthesiology Physician
- Falls Church, VA
- NPI 1417994872
-
- Anesthesiology Physician
- Charlottesville, VA
- NPI 1902248677
DC, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fredericksburg, VA
- NPI 1619149648
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1942955919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6225 N STATE HIGHWAY 161 STE 200",
"city": "IRVING",
"state": "TX",
"postal_code": "750382241",
"telephone_number": "214-687-0001",
"fax_number": "972-518-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 MAPLE AVE STE 300",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232262553",
"telephone_number": "804-287-7878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINDALE",
"first_name": "AMANDA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "DNAP, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-17",
"last_updated": "2022-02-17",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024183746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.