Tamica Wildina Wayland, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

345749-01 Issued in NY

Practice address

1291 Burlingham Rd
Pine Bush, NY 12566-7327

Phone

(845) 224-1280

NPI assigned

Nov 23, 2022

Last updated

Nov 23, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1356050827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 BURLINGHAM RD",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125667327",
            "telephone_number": "845-224-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 BURLINGHAM RD",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125667327",
            "telephone_number": "845-224-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYLAND",
        "first_name": "TAMICA",
        "middle_name": "WILDINA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "345749-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #17494)
• Arthur Walker
• Alexander Walsh
• Catherine Miriam Wanko-Newman, PSY.D.
• Riaz A Wattoo, PH
• Allison Webster
• Melina Wilson, MS-CCC-SLP
• Shannon Worth, MS CCC S/LP
• Annie Yondolino, RN
• Thomas Paul Zwart, D.C.

• Licensed Practical Nurse in Pine Bush, NY
• Providers in Pine Bush, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.