Individual provider Active NPI

Waneda Kay Wolfe, M.N., C.N.S., A.N.P.

  • Adult Health Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1013007723
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP3417872 Issued in FL
Practice address
100 Doctors Dr Ste C
Panama City, FL 32405-7609
Phone
(850) 814-8400
Fax
(850) 215-8405
NPI assigned
Oct 13, 2006
Last updated
Mar 16, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP3417872 FL Primary
Community Psychiatric/Mental Health Clinical Nurse Specialist 364SP0812X ARNP3417872 FL

Addresses

Primary practice location

100 Doctors Dr Ste C
Panama City, FL 32405-7609

Mailing address

PO Box 913
Panama City, FL 32402-0913
Phone (850) 814-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1013007723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 913",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324020913",
            "telephone_number": "850-814-8400",
            "fax_number": "850-215-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DOCTORS DR STE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057609",
            "telephone_number": "850-814-8400",
            "fax_number": "850-215-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "WANEDA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "M.N., C.N.S., A.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP3417872",
            "primary": true
        },
        {
            "code": "364SP0812X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Community",
            "state": "FL",
            "license": "ARNP3417872",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.