Organization Active NPI

Radiant Health and Wellness LLC

  • Primary Care Clinic/Center
  • Lynchburg, VA
National Provider Identifier
1093606378
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RADIANT HEALTH AND WELLNESS LLC
Practice address
2900 Old Forest Rd Ste B
Lynchburg, VA 24501-2335
Phone
(434) 404-4728
Fax
(434) 234-8978
NPI assigned
Jul 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Grace Mumbi Kamau, WHNPNPI 1831801406
Title
Nurse Practitioner
Phone
(434) 404-4728

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2900 Old Forest Rd Ste B
Lynchburg, VA 24501-2335

Mailing address

2900 Old Forest Rd Ste B
Lynchburg, VA 24501-2335
Phone (434) 404-4728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251013000004 VA Part B Supplier - Clinic/Group Practice 1355838665 Receives reassigned benefits from 1 practitioner
Practice locations: Lynchburg, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2334952Radiant Health and Wellness LLC2900 Old Forest Road, Suite B, Lynchburg, VA 24501Certificate of waiverDec 3, 2027

National Provider Directory

National Provider Directory

Locations

508 7th St
Ofc 111
Altavista, VA 24517

2900 Old Forest Rd
Ste B
Lynchburg, VA 24501
Phone (434) 404-4728

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1093606378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 OLD FOREST RD STE B",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012335",
            "telephone_number": "434-404-4728",
            "fax_number": "434-234-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 OLD FOREST RD STE B",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012335",
            "telephone_number": "434-404-4728",
            "fax_number": "434-234-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "KAMAU",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "MUMBI",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "434-404-4728",
        "authorized_official_credential": "WHNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.