Wanda Smith-Herndon

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

042791 Issued in GA

Practice address

2100 Comer Ave
Columbus, GA 31904-8725

Phone

(706) 596-5883

Fax

(706) 596-5889

NPI assigned

Nov 24, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1093960601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 NORTH END OAKLEY DR.",
            "address_2": "APT. G108",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31906",
            "telephone_number": "706-464-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 COMER AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048725",
            "telephone_number": "706-596-5883",
            "fax_number": "706-596-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-HERNDON",
        "first_name": "WANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "042791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Slubowski, MS
• Daya Small, RBT
• Winifred Smalls
• Martha Smilie
• Kimberly E. Smith-Hargrove, PT
• Alexis Smith, PHARMD
• Alison Louise Smith, M.A.
• Anita T. Smith, M.ED., CHES
• Babette Susan Smith, PT
• Bailey Smith

• Licensed Practical Nurse in Columbus, GA
• Providers in Columbus, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.