Individual provider Active NPI

Amanda Herbert

  • Family Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1992409106
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0116038170 Issued in VA
Practice address
1965 Emancipation Hwy Ste 100
Fredericksburg, VA 22401-6213
Phone
(540) 735-0560
NPI assigned
Mar 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 0116038170 VA Primary

Addresses

Primary practice location

1965 Emancipation Hwy Ste 100
Fredericksburg, VA 22401-6213

Mailing address

1965 Emancipation Hwy Ste 100
Fredericksburg, VA 22401-6213
Phone (540) 418-6681

Other practice location 1

102 W Broaddus Ave
Suite 200
Bowling Green, VA 22427
Phone (804) 632-1030

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230612003103 VA Order and Referring Only - Family PracticePractitioner - Family Practice 2264899962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Health Services Inc PastSince Mar 6, 2022 Accepting new patients
Central Virginia Health Services Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aherbert105873@marywashingtonhealthcare.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.

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1992409106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 EMANCIPATION HWY STE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224016213",
            "telephone_number": "540-418-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 EMANCIPATION HWY STE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224016213",
            "telephone_number": "540-735-0560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 W Broaddus Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "VA",
            "postal_code": "22427",
            "country_code": "US",
            "telephone_number": "804-632-1030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116038170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.