Organization Active NPI

Amani Nicol Wellness, LLC

  • Prevention Professional
  • Baltimore, MD
National Provider Identifier
1255942033
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
Legal business name
AMANI NICOL WELLNESS, LLC
Practice address
4901 Springarden Dr
LL
Baltimore, MD 21209-4669
Phone
(443) 898-6562
Fax
(410) 648-9712
NPI assigned
Aug 13, 2020
Last updated
Nov 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Nikia Denise Sweeney, NBHWCNPI 1154932937
Title
Wellness Director
Phone
(443) 272-1029

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
Prevention ProfessionalGroup: 193400000X SINGLE SPECIALTY GROUP 405300000X Primary

Addresses

Primary practice location

4901 Springarden Dr
LL
Baltimore, MD 21209-4669

Mailing address

731 Cloudyfold Dr
Pikesville, MD 21208-4608
Phone (443) 813-7810

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://amaninicolwellness.practicebetter.io/#/5e9de2fb2a8326070c1924df/profile Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230411002953 MD MDPP Supplier - in-Person MDPP Supplier 6507245909 Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

4901 Spring Garden Dr
Baltimore, MD 21209
Phone (410) 258-3720

201 Milford Mill Rd
Ste 102
Pikesville, MD 21208
Phone (443) 449-0866

Practitioners & affiliated clinicians

Practitioners 4

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": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1255942033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 CLOUDYFOLD DR",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084608",
            "telephone_number": "443-813-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 SPRINGARDEN DR",
            "address_2": "LL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094669",
            "telephone_number": "443-898-6562",
            "fax_number": "410-648-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANI NICOL WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "NIKIA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "WELLNESS DIRECTOR",
        "authorized_official_telephone_number": "443-272-1029",
        "authorized_official_credential": "NBHWC"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://amaninicolwellness.practicebetter.io/#/5e9de2fb2a8326070c1924df/profile",
            "affiliation": "N",
            "endpointDescription": "Practice Better",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4901 Springarden Dr",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212094669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.