Restorative Wellness Clinic

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

Legal business name

RESTORATIVE WELLNESS CLINIC

Doing business as

Omni Health
Wellness Recovery

Practice address

2041 Creative Dr Ste 100 #54448
Lexington, KY 40505

Phone

(606) 618-0125

Fax

(606) 619-4209

NPI assigned

Jan 28, 2016

Last updated

Dec 18, 2020By 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

Anastasia Jandes, M.D., PHARM.D.NPI 1518111731

Title

Ceo

Phone

(859) 388-0491

Specialties & licenses 5

Addresses

Other names 2

• Omni Health Doing business as
• Wellness Recovery Doing business as

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.

• Anastasia A. S. Jandes, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Lexington, KY
  • NPI 1518111731
  NPD Authorized official

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1992162465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54448",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405554448",
            "telephone_number": "606-618-0125",
            "fax_number": "606-619-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 CREATIVE DR STE 100 #54448",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40505",
            "telephone_number": "606-618-0125",
            "fax_number": "606-619-4209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2716 Old Rosebud Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405098008",
            "country_code": "US",
            "telephone_number": "859-554-0485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1114 Reuben St Ste 4",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407414021",
            "country_code": "US",
            "telephone_number": "606-618-0125",
            "fax_number": "606-619-4209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 W 5th St",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407411840",
            "country_code": "US",
            "telephone_number": "606-618-0125",
            "fax_number": "606-619-4209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTORATIVE WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "JANDES",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-388-0491",
        "authorized_official_credential": "M.D., PHARM.D."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omni Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellness Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Addiction Medicine (Internal Medicine) Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Addiction Medicine (Internal Medicine) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.