Wanda Elliott Rushton, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

200868 Issued in NC

Practice address

1400 Westgate Center Drive
Suite 130
Winston Salem, NC 27103-3104

Phone

(336) 718-7500

Fax

(336) 659-8704

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1144242256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WESTGATE CENTER DRIVE",
            "address_2": "SUITE 130",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033104",
            "telephone_number": "336-718-7500",
            "fax_number": "336-659-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSHTON",
        "first_name": "WANDA",
        "middle_name": "ELLIOTT",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-10-28",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "200868",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "200868",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wrushton444955@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1400 Westgate Center Drive",
            "address_2": "Suite 130",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271033104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeanne Runyan, BS, CPSS
• Benjamin Woodress Rush, MD
• Marie Cavalier Rush, PHARMD
• Nicole Rush
• Caroline Cooper Rushing, MD
• Lindsey Anne Rusk, PA-C
• Courtney L Russ-Friedman, FNP-BC
• Tiffany Russ, LPN
• Bradly Kalb Russell, DDS
• Jamie Lynn Russell, NURSE PRACTITIONER

• Nurse Practitioner in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.