Lateka Edwards-Wise

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

145 Brookland Cir
Columbia, SC 29204-1416

Phone

(803) 463-7063

NPI assigned

Mar 28, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1238198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238198400000",
    "number": "1346482908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 BROOKLAND CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041416",
            "telephone_number": "803-463-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 BROOKLAND CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292041416",
            "telephone_number": "803-463-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS-WISE",
        "first_name": "LATEKA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-28",
        "last_updated": "2009-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas B Edmunds, M.D.
• Virginia Gray Edmunds, PTA
• Calvin A. Edmundson, LPC
• Marc Edmundson, PHARMD
• Danna Mae Cawagas Edu
• Amy Elliott Edwards, PHARM. D.
• Curry Harrison Edwards, LISSW CP LMFT
• Dallas N Edwards Jr., RPH
• Elizabeth Edwards
• Elizabeth W Edwards, M.D.

• All providers in Columbia, SC
• Nurse's Aide in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2009; 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.