Ami Professional Services LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

AMI PROFESSIONAL SERVICES LLC

Practice address

12030 Sunrise Valley Drive, Suite 250,
Reston,, VA 20191

Phone

(571) 375-8366

NPI assigned

May 10, 2021

Organization subpart

No

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

Authorized official

Name

Randy Cook

Title

President

Phone

(571) 375-8366

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1386228013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12030 SUNRISE VALLEY DRIVE, SUITE 250,",
            "city": "RESTON,",
            "state": "VA",
            "postal_code": "20191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12030 SUNRISE VALLEY DRIVE, SUITE 250,",
            "city": "RESTON,",
            "state": "VA",
            "postal_code": "20191",
            "telephone_number": "571-375-8366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 Veteran Hwy,",
            "address_purpose": "LOCATION",
            "city": "Bristol,",
            "state": "PA",
            "postal_code": "19007",
            "country_code": "US",
            "telephone_number": "571-375-8366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMI PROFESSIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-375-8366"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amene Amanpour, CRNA
• Asmita Ambardekar, PT
• Amen Clinics, Inc DC
• American Arthritis & Rheumatology Associates DC PC
• American Arthritis & Rheumatology Associates VA LLC
• Saad Amin, M.D.
• Fatima Amir
• Nida Amira
• Syed Amiry
• Richard Gene Ammerman, M.D.

• Internal Medicine Physician in Reston,, VA
• Providers in Reston,, 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 May 10, 2021; 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.