Wanda K Tabor

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

34322 Issued in WV

Practice address

105 Adair St
Beckley, WV 25801-3733

Phone

(304) 256-4500

NPI assigned

May 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Raleigh County

  • Local Education Agency (LEA)
  • Beckley, WV
  • NPI 1841406162
  NPD (past)

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1184881799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ADAIR ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013733",
            "telephone_number": "304-256-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ADAIR ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013733",
            "telephone_number": "304-256-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABOR",
        "first_name": "WANDA",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WV",
            "license": "34322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002351",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Safiullah Syed, MD
• Lawrence E Syner, DDS
• John Michael Tabit, D.O.
• Sydney L Tabit
• Tylor Jordan Tabit, DO
• Zachary Ronald Talbert, MSW, LSW
• Maureen Talkington
• Ronnie Everett Talkington
• Angela Talley
• James Rodney Talton, PA-C

• School Registered Nurse in Beckley, WV
• Providers in Beckley, WV by specialty
• School Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.