Individual provider Active NPI

Amanda Elaine Langkop Wanat, NP

  • Family Nurse Practitioner
  • Dumfries, VA
National Provider Identifier
1629835541
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024189661 Issued in VA
Practice address
16712 Jefferson Davis Hwy
Dumfries, VA 22026-2115
Phone
(703) 221-7467
NPI assigned
Mar 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1153289 TX
Family Nurse Practitioner 363LF0000X 0024189661 VA Primary

Addresses

Primary practice location

16712 Jefferson Davis Hwy
Dumfries, VA 22026-2115

Mailing address

5049 7TH Rd S Apt 202
Arlington, VA 22204-2521
Phone (972) 904-8562

Other practice location 1

8500 Leesburg Pike Ste 500
Tysons, VA 22182-2409
Phone (571) 731-1344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250108002848 VA Practitioner - Nurse Practitioner 0941738629 Reassigns benefits to 4 organizations
I20250411001629 DC Practitioner - Nurse Practitioner 0941738629 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic Diagnostic of Virginia LLCGroup PAC ID 6709960891, 142 clinicians
Caregivers Palliative CareGroup PAC ID 2163919671, 5 clinicians

Practice addresses (Care Compare)

110 Edds LN
Sterling, VA 20165-5683
Phone (866) 389-2727

16712 Richmond Hwy
Dumfries, VA 22026-2115
Phone (866) 389-2727

19305 Ruby Dr
Leesburg, VA 20176-6508
Phone (866) 389-2727

24795 Pinebrook Rd
Chantilly, VA 20152-4239
Phone (866) 389-2727

8500 Leesburg Pike
Suite 500
Vienna, VA 22182-2409
Phone (571) 731-1344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1153289TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Pulmonary Group CurrentSince Dec 26, 2024 Accepting new patients
Clark Palliative Medicine Group CurrentSince Dec 26, 2024 Accepting new patients
Clark Alliance Services Inc CurrentSince Dec 26, 2024 Accepting new patients
Caregivers Palliative Care CurrentSince Jan 26, 2026 Accepting new patients

Locations

2501 Parkers Ln
Fl 4
Alexandria, VA 22306
Phone (757) 276-5020

500 J Clyde Morris Blvd
#4
Newport News, VA 23601
Phone (757) 276-5020

500 J Clyde Morris Blvd
Ste 4
Newport News, VA 23601

2220 Edward Holland Dr
Richmond, VA 23230
Phone (804) 678-7000

3575 Bridge Rd
Ste 8
Suffolk, VA 23435
Phone (757) 632-7107

8500 Leesburg Pike
Ste 500
Vienna, VA 22182
Phone (571) 731-1344

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1629835541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5049 7TH RD S APT 202",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222042521",
            "telephone_number": "972-904-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16712 JEFFERSON DAVIS HWY",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220262115",
            "telephone_number": "703-221-7467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8500 Leesburg Pike Ste 500",
            "address_purpose": "LOCATION",
            "city": "Tysons",
            "state": "VA",
            "postal_code": "221822409",
            "country_code": "US",
            "telephone_number": "571-731-1344",
            "fax_number": "517-586-2183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANAT",
        "first_name": "AMANDA",
        "middle_name": "ELAINE LANGKOP",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1153289",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024189661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

Verify at the official NPI Registry.