Active NPI
Wilshawnda Squires
- Home Health Aide
- Fayetteville, NC
National Provider Identifier
1104798792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HC8097
- Practice address
- 6200 Ramsey St
Fayetteville, NC 28311-9314 - Phone
- (910) 900-6003
- Fax
- (910) 900-7004
- NPI assigned
- Sep 22, 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HC8097 | NC | Primary |
Addresses
Primary practice location
6200 Ramsey St
Fayetteville, NC 28311-9314
Mailing address
3771 Ramsey St Ste 109
Fayetteville, NC 28311-7616
Other names 1
- Karmyce Quinn
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
| License | State | Type | Specialty |
|---|---|---|---|
| HC8097 | NC | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abundant Grace Home Health Services, LLC | Current | Accepting new patients |
Locations
3771 Ramsey St
Ste 109
Fayetteville, NC 28311
Phone (301) 252-8600
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 and National Provider Directory roles.
-
- Home Health Agency
- Fayetteville, NC
- NPI 1659243251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1104798792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3771 RAMSEY ST STE 109",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283117616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 RAMSEY ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283119314",
"telephone_number": "910-900-6003",
"fax_number": "910-900-7004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SQUIRES",
"first_name": "WILSHAWNDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-22",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NC",
"license": "HC8097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KARMYCE",
"last_name": "QUINN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.