Imani Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

IMANI MEDICAL CORPORATION

Practice address

111 Short St
Orange, VA 22960-1651

Phone

(540) 672-9000

Fax

(540) 672-2710

NPI assigned

Feb 8, 2017

Last updated

Feb 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Verdena Ross Jennings, D.O.NPI 1821012816

Title

Physician

Phone

(540) 672-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Verdena Ross Jennings, D.O

  • Internal Medicine Physician
  • Orange, VA
  • NPI 1821012816
  NPD (past) Authorized official

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1356889588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SHORT ST",
            "city": "ORANGE",
            "state": "VA",
            "postal_code": "229601651",
            "telephone_number": "540-672-9000",
            "fax_number": "540-672-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SHORT ST",
            "city": "ORANGE",
            "state": "VA",
            "postal_code": "229601651",
            "telephone_number": "540-672-9000",
            "fax_number": "540-672-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANI MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "VERDENA",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "540-672-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "IM9374231",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Health Center Commission of Orange County (Orange County Nursing Home & Home for Adults)
• Lorraine Mehling Highlander, RN
• Amber Schulze Hurlock, PTA
• Jane Ibeh
• Niha Idrees, PHARMD
• Imani Works Corporation
• Kristopher Inman, MSN, APRN
• Rebekah Israel, QMHP, BS
• Hannah James, PT, DPT
• Victoria Regina Jenkins, FNP-BC

• Internal Medicine Physician in Orange, VA
• Providers in Orange, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.