Wanda Faye Edwards, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN090419 Issued in GA

Practice address

5666 Longbow Dr
Stone Mountain, GA 30087-5230

Phone

(954) 305-1262

NPI assigned

Feb 21, 2018

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

Electronic endpoints 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.

• Margie'S Natural Care & Adult Services

  • Home Health Agency
  • Stone Mountain, GA
  • NPI 1891296661

  Licensed Practical Nurse

  NPD (past) Authorized official

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1477054849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5666 LONGBOW DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300875230",
            "telephone_number": "678-235-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5666 LONGBOW DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300875230",
            "telephone_number": "954-305-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "WANDA",
        "middle_name": "FAYE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5196378",
            "primary": false
        },
        {
            "code": "247000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Health Information",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN090419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wanda.arnp@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Admn Offices",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Mailing Correspondence",
            "address_1": "5666 Longbow Dr",
            "city": "Stone Mountain",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300875230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edac Everyone Deserves a Chance
• Kimberly Diann Eddins
• Edward Edeh, PHARM D
• Edward M. Gotlieb, M.D., Et Al Dba the Pediatric Center
• Denise Edwards, PT
• Ellis Ifeanyichukwu Efobi, M.D.
• Ehi Pharmacy Solutions, LLC.
• Joy U Ekam
• Elite Care Angels Inc
• Marleen Ellegor, MSW

• Licensed Practical Nurse in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.