NPIMap

Organization Active NPI

Affinity Wellness & Consultants

  • Family Nurse Practitioner
  • Middletown, DE
National Provider Identifier
1083078612
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000643 Issued in DE
Legal business name
AFFINITY WELLNESS & CONSULTANTS
Practice address
5350 Summit Bridge Rd Ste 107
Middletown, DE 19709-4802
Phone
(302) 803-2797
NPI assigned
Apr 10, 2016
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Amber ManningNPI 1538408927
Title
Owner
Phone
(302) 803-2797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Family Nurse Practitioner 363LF0000X LG-0000643 DE Primary

Addresses

Primary practice location

5350 Summit Bridge Rd Ste 107
Middletown, DE 19709-4802

Mailing address

382 Daniel Rd
Smyrna, DE 19977
Phone (302) 569-9355

Other practice location 1

292 Carter Rd
Suite B
Middletown, DE 19709
Phone (302) 569-9355

National Provider Directory

National Provider Directory

Locations

292 Carter Dr
Ste B
Middletown, DE 19709
Phone (302) 376-6144

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1460246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1083078612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 DANIEL RD",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "19977",
            "telephone_number": "302-569-9355",
            "fax_number": "888-641-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 SUMMIT BRIDGE RD STE 107",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197094802",
            "telephone_number": "302-803-2797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "292 Carter Rd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "DE",
            "postal_code": "19709",
            "country_code": "US",
            "telephone_number": "302-569-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AFFINITY WELLNESS & CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-10",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-803-2797"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.