Active NPI
Akena Shanay Wannamaker, DPM
- Foot & Ankle Surgery Podiatrist
- Richmond, VA
National Provider Identifier
1639787260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0103301418
- Practice address
- 101 Cowardin Ave Ste 101
Richmond, VA 23224-2078 - Phone
- (804) 643-8863
- NPI assigned
- Jul 20, 2020
- Last updated
- Jan 27, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0103301418 | VA | Primary |
Addresses
Primary practice location
101 Cowardin Ave Ste 101
Richmond, VA 23224-2078
Mailing address
101 Cowardin Ave Ste 101
Richmond, VA 23224-2078
Phone (804) 643-8863
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
101 Cowardin Ave
Richmond, VA 23224-2078
Phone (804) 643-8863
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 27 |
| Removal of nail tissue | 262 |
| Removal or shaving of skin growth | 117 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kena LLC | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
101 Cowardin Ave
Ste 101
Richmond, VA 23224
Phone (804) 230-3429
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1639787260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 COWARDIN AVE STE 101",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232242078",
"telephone_number": "804-643-8863",
"fax_number": "804-596-0397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 COWARDIN AVE STE 101",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232242078",
"telephone_number": "804-643-8863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANNAMAKER",
"first_name": "AKENA",
"middle_name": "SHANAY",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-20",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VA",
"license": "0103301418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.