Active NPI
Roanna T Waynick, RN
- Psychiatry Physician
- Florence, AL
National Provider Identifier
1144241092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 1047737
- Practice address
- 2415 Helton Drive
Suite a
Florence, AL 35630 - Phone
- (256) 765-2230
- Fax
- (256) 765-2084
- NPI assigned
- Jul 23, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 1047737 | AL | Primary |
Addresses
Primary practice location
2415 Helton Drive
Suite a
Florence, AL 35630
Mailing address
2415 Helton Drive
Suite a
Florence, AL 35630
Phone (256) 765-2230
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1047737 | AL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144241092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 HELTON DRIVE",
"address_2": "SUITE A",
"city": "FLORENCE",
"state": "AL",
"postal_code": "35630",
"telephone_number": "256-765-2230",
"fax_number": "256-765-2084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 HELTON DRIVE",
"address_2": "SUITE A",
"city": "FLORENCE",
"state": "AL",
"postal_code": "35630",
"telephone_number": "256-765-2230",
"fax_number": "256-765-2084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAYNICK",
"first_name": "ROANNA",
"middle_name": "T",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "1047737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.