ELLYN REYNELL AMATO (NPI# 1215343470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215343470 |
| Entity Type | Individual |
| Full Name | ELLYN REYNELL AMATO |
| Other Name | ELLYN REYNELL FARRAR |
| Credential | NP |
| Practice Address |
12100 Warwick Blvd Suite 201 Newport News VA 23601-2365 |
| Mailing Address |
856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 |
| Practice Telephone | 7575345555 |
| Practice Fax Number | 7575345567 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2015-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
0024171792 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
0024171792 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12100 WARWICK BLVD SUITE 201 |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23601-2365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972565315 | Biral S Amin | Radiology | 12100 Warwick Blvd, Suite 102, Newport News, VA 23601-2365 | 2006-04-03 |
| 1679979744 | Riverside Hospital, Inc | General Acute Care Hospital | 12100 Warwick Blvd, Suite 210b, Newport News, VA 23601-2365 | 2014-11-17 |
| 1730453424 | Asheley Supik | Genetic Counselor, MS | 12100 Warwick Blvd, Suite 101, Newport News, VA 23601-2365 | 2012-02-28 |
| 1902182231 | Riverside Physician Services Inc | Radiology | 12100 Warwick Blvd, Suite 102, Newport News, VA 23601-2365 | 2011-11-01 |
| 1992856579 | George Joy Kannarkat | Internal Medicine | 12100 Warwick Blvd, Suite 201, Newport News, VA 23601 | 2007-01-12 |
| 1174545107 | Flavia Esteve Kostov | Internal Medicine | 12100 Warwick Blvd, Suite 201, Newport News, VA 23601-2365 | 2006-07-25 |
| 1609893130 | Mashour Yousef | Internal Medicine | 12100 Warwick Blvd, Suite 201, Newport News, VA 23601-2365 | 2006-07-17 |
| 1205853793 | Guy W. Tillinghast | Specialist | 12100 Warwick Blvd, Suite 201, Newport News, VA 23601-2365 | 2006-07-17 |
| 1861418410 | Riverside Physician Services Inc | Obstetrics & Gynecology | 12100 Warwick Blvd, Suite 202, Newport News, VA 23601 | 2006-07-15 |
| 1588628580 | William Paul Irvin | Obstetrics & Gynecology | 12100 Warwick Blvd, Suite 202, Newport News, VA 23601-2365 | 2006-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809235 | Joshua Alan Albert | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Center 10510 Jefferson Ave, Suite A, Newport News, VA 23601 | 2020-04-14 |
| 1053959957 | Sisters In Homecare LLC | Home Health | 716 J Clyde Morris Blvd, Newport News, VA 23601 | 2019-12-11 |
| 1811450638 | Kevin Lavender | Student in an Organized Health Care Education/Training Program | Riverside Brentwood Medical Center, 10510 Jefferson Avenue Suite A, Newport News, VA 23601 | 2019-04-09 |
| 1578025532 | Cortlandt Mercy Sellers | Student in an Organized Health Care Education/Training Program | Riverside Regional Medical Center, 500 J Clyde Morris Blvd, 2 Annex, Newport News, VA 23601 | 2019-04-01 |
| 1407352974 | Stephen Leinfelder | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Dept. of Medical Education, Second Floor Annex, Newport News, VA 23601 | 2018-04-03 |
| 1104359132 | Nicholas Alexander Austin | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Second Floor Annex, Riverside Transitional Internship Program, Newport News, VA 23601 | 2017-04-06 |
| 1609312883 | Bright Nii Lante Lamptey | Pharmacist | 600 J Clyde and Morris Blvd, Newport News, VA 23601 | 2017-01-12 |
| 1417490517 | Justin Chamblee | Pharmacist | 671 J. Clyde Morris Blvd, Newport News, VA 23601 | 2016-11-22 |
| 1447706080 | Megan Elizabeth Cobb | Physician Assistant | 500 J Clyde Morrisl Blvd, Suite 603, Newport News, VA 23601 | 2016-09-01 |
| 1669815957 | Christina Michelle Wray Mcmillan | Nurse Practitioner | 416 J. Clyde Morris Blvd., Newport News, VA 23601 | 2013-04-17 |
| Find all providers in zip 23601 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558980771 | Michelle Renee Dipasquale | Nurse Practitioner | 101 Philip Roth St, Newport News, VA 23606-1393 | 2020-04-09 |
| 1962985309 | Jatifha Cedeya Harris | Nurse Practitioner | 12200 Warwick Blvd Ste 410, Newport News, VA 23601-2548 | 2018-09-12 |
| 1598269599 | Trina S Williams | Nurse Practitioner | 11751 Rock Landing Dr Ste 1, Newport News, VA 23606-4233 | 2018-03-23 |
| 1174061030 | Kathryn E Edman | Nurse Practitioner | 12200 Warwick Blvd Ste 290, Newport News, VA 23601-2344 | 2017-02-10 |
| 1699227603 | Kathleen U Mendoza | Nurse Practitioner | 101 Philip Roth St Ste 5a, Riverside Gastroenterology Specialists, Newport News, VA 23606-1393 | 2016-10-26 |
| 1710387774 | Tara L Worley | Nurse Practitioner | 11803 Jefferson Ave, Suite 110, Newport News, VA 23606-2565 | 2014-08-27 |
| 1164840765 | Paula Elizabeth Soergel | Nurse Practitioner | 12200 Warwick Blvd Ste 290, Newport News, VA 23601-2344 | 2014-04-01 |
| 1770920530 | Jennifer Engelhorn | Nurse Practitioner | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2013-06-03 |
| 1407012859 | Atoosa Deyanat Purveyor | Nurse Practitioner | 1000 Old Denbigh Blvd, Suite 1020a, Newport News, VA 23602-2017 | 2008-08-05 |
| 1154458412 | Jason L Tricker | Nurse Practitioner | 12200 Warwick Blvd, Suite 410, Newport News, VA 23601-2344 | 2007-02-27 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23601 |
Please comment or provide details below to improve the information on ELLYN REYNELL AMATO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.