Healthcare Provider Details

I. General information

NPI: 1801753223
Provider Name (Legal Business Name): AMY ELIZABETH ROLLOGAS CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY BLAKE ROLLOGAS

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 E HIGH ST STE 201
CHARLOTTESVILLE VA
22902-4850
US

IV. Provider business mailing address

920 E HIGH ST STE 201
CHARLOTTESVILLE VA
22902-4850
US

V. Phone/Fax

Practice location:
  • Phone: 434-654-2870
  • Fax: 833-954-5530
Mailing address:
  • Phone: 434-654-2870
  • Fax: 833-954-5530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number0024195427
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number0024195427
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: