Individual provider Active NPI

Amy Fay Alliston, FNP, PMHNP, IBCLC

  • Family Nurse Practitioner
  • Farmville, VA
National Provider Identifier
1972126142
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024186591 Issued in VA
Practice address
308B S Main St Ste 222
Farmville, VA 23901-1744
Phone
(434) 808-9453
Fax
(800) 317-0655
NPI assigned
May 22, 2020
Sex
Female
Sole proprietor
Yes

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Rehab Consultants PLLC 251 clinicians

Practice addresses (Care Compare)

2003 Cobb St
Farmville, VA 23901-2603
Phone (434) 392-6106

308 B S Main St
Suite 222
Farmville, VA 23901-1744
Phone (434) 808-9453

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230504002639 VA Practitioner - Nurse Practitioner 1658736178 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
L-88133VAMDLactation Consultant (Registered Nurse)
0024186591VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC Multi-Specialty CurrentSince Feb 23, 2023 Accepting new patients
Song Sparrow PLLC Multi-Specialty CurrentSince Dec 18, 2024 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

173 Brockman Park Dr
Amherst, VA 24521
Phone (434) 841-2004

308 S Main St
Ste 222
Farmville, VA 23901
Phone (434) 694-2620

308B S Main St
Farmville, VA 23901
Phone (434) 808-9453

201 N Main St
Ste 303
Farmville, VA 23901

800 Buffalo St
Farmville, VA 23901
Phone (434) 315-5868

2003 Cobb St
Farmville, VA 23901
Phone (434) 392-6106

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 0024186591 VA
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 0024186591 VA Primary
Lactation Consultant (Registered Nurse) 163WL0100X L-88133 VA

Addresses

NPPES NPI Registry

Primary practice location

308B S Main St Ste 222
Farmville, VA 23901-1744

Mailing address

308B S Main St Ste 222
Farmville, VA 23901-1744
Phone (434) 808-9453

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 10, 2026.

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1972126142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308B S MAIN ST STE 222",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011744",
            "telephone_number": "434-808-9453",
            "fax_number": "800-317-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308B S MAIN ST STE 222",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011744",
            "telephone_number": "434-808-9453",
            "fax_number": "800-317-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISTON",
        "first_name": "AMY",
        "middle_name": "FAY",
        "credential": "FNP, PMHNP, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024186591",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024186591",
            "primary": true
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "VA",
            "license": "L-88133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

Verify at the official NPI Registry.