Active NPI
Rogina Wilson
- Home Health Agency
- Raeford, NC
National Provider Identifier
1437987674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- S9S4T3H8
- Practice address
- 299 Sedgefield Dr
Raeford, NC 28376-8925 - Phone
- (910) 779-7306
- NPI assigned
- Jul 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | S9S4T3H8 | NC | Primary |
Addresses
Primary practice location
299 Sedgefield Dr
Raeford, NC 28376-8925
Mailing address
7711 S Raeford Rd Ste 102,105
Fayetteville, NC 28304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S9S4T3H8 | NC | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1437987674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7711 S RAEFORD RD STE 102,105",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "28304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 SEDGEFIELD DR",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283768925",
"telephone_number": "910-779-7306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ROGINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-22",
"last_updated": "2024-07-22",
"certification_date": "2024-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "S9S4T3H8",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raeford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.