Individual provider Active NPI

Tanya Trotter Winbush, REGISTERED NURSE

  • Primary Care Nurse Practitioner
  • Creedmoor, NC
National Provider Identifier
1053828756
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
5025627 Issued in NC
Practice address
1168 Andrews CT
Creedmoor, NC 27522-7274
Phone
(919) 283-1883
NPI assigned
Jan 3, 2018
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 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 5025627 NC
Primary Care Nurse Practitioner 363LP2300X 5025627 NC Primary

Addresses

Primary practice location

1168 Andrews CT
Creedmoor, NC 27522-7274

Mailing address

1168 Andrews CT
Creedmoor, NC 27522-7274
Phone (919) 283-1883

Other practice location 1

673 Cardinal Dr
Henderson, NC 27536-5105
Phone (252) 654-6406

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
262617NCMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1053828756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 ANDREWS CT",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275227274",
            "telephone_number": "919-283-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1168 ANDREWS CT",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275227274",
            "telephone_number": "919-283-1883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "673 Cardinal Dr",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NC",
            "postal_code": "275365105",
            "country_code": "US",
            "telephone_number": "252-654-6406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINBUSH",
        "first_name": "TANYA",
        "middle_name": "TROTTER",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5025627",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5025627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creedmoor, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; 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.