Organization Active NPI

Amani Health & Wellness

  • Family Medicine Physician
  • Winchester, VA
National Provider Identifier
1497340517
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AMANI HEALTH & WELLNESS
Practice address
500 W Jubal Early Dr Ste 230
Winchester, VA 22601-6508
Phone
(540) 247-6219
NPI assigned
Mar 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Shyama Rosenfeld, MDNPI 1497720098
Title
Owner
Phone
(540) 546-2633

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

500 W Jubal Early Dr Ste 230
Winchester, VA 22601-6508

Mailing address

500 W Jubal Early Dr Ste 230
Winchester, VA 22601-6508
Phone (540) 546-2633

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Winchester

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210518001335 VA Part B Supplier - Clinic/Group Practice 7113336405 Receives reassigned benefits from 1 practitioner
Practice locations: Winchester, VA

National Provider Directory

National Provider Directory

Locations

500 W Jubal Early Dr
Ste 230
Winchester, VA 22601
Phone (540) 247-6219

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25167/brand/1/csg/1/fhir/r4

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": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1497340517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W JUBAL EARLY DR STE 230",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016508",
            "telephone_number": "540-546-2633",
            "fax_number": "540-546-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W JUBAL EARLY DR STE 230",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016508",
            "telephone_number": "540-247-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANI HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "ROSENFELD",
        "authorized_official_first_name": "SHYAMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-546-2633",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Winchester",
            "affiliation": "N",
            "address_1": "500 W Jubal Early Dr Ste 230",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226016508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.