Anita Waid

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

19069 Issued in TN

Practice address

880 Madison Ave
Memphis, TN 38103-3409

Phone

(901) 545-6969

NPI assigned

Aug 11, 2011

Last updated

Jan 30, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Neuropsychiatric Clinic of Atlantis-Villa Rica, P.C.

  • Psychiatry Physician
  • Villa Rica, GA
  • NPI 1255668810
  NPD (past)
• The Neuropsychiatric Clinic of Atlantis-Villa Rica, P.C.

  • Psychiatry Physician
  • Lithia Springs, GA
  • NPI 1598718512
  NPD (past)

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1144509837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 JEFFERSON AVE",
            "address_2": "ATTN: PROVIDER ENROLLMENT",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 MADISON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033409",
            "telephone_number": "901-545-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAID",
        "first_name": "ANITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-11",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "GA",
            "license": "0243288",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "TN",
            "license": "19069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imelda Wafula, OT
• Allison Waggoner
• Terry L Waggoner, PHARMACIST
• Charcey Wahleithner
• Lila Katherine Wahlquist
• Sonia Waites, PT, DPT
• Cynthia Waits
• Robert W Wake, MD
• Daniel Wakefield, M.D.
• Wal-Mart Stores East LP (Walmart Pharmacy 10-5043)

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Memphis, TN
• Providers in Memphis, TN by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.