Active NPI
Jaimie Roberson Wadkins, CRNP
- Family Nurse Practitioner
- Opelika, AL
National Provider Identifier
1548810294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-143550
- Practice address
- 2000 Pepperell Pkwy
Opelika, AL 36801-5452 - Phone
- (334) 528-3000
- Fax
- (334) 528-3004
- NPI assigned
- Sep 16, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-143550 | AL | Primary |
Addresses
Primary practice location
2000 Pepperell Pkwy
Opelika, AL 36801-5452
Mailing address
2399 19TH PL
Valley, AL 36854-2853
Phone (706) 518-8609
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 |
|---|---|---|---|
| 1-143550 | AL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1548810294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2399 19TH PL",
"city": "VALLEY",
"state": "AL",
"postal_code": "368542853",
"telephone_number": "706-518-8609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 PEPPERELL PKWY",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368015452",
"telephone_number": "334-528-3000",
"fax_number": "334-528-3004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADKINS",
"first_name": "JAIMIE",
"middle_name": "ROBERSON",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-16",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-143550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Opelika, AL
- Cassandra T Vinson, RN, MMT
- Vision Health Care
- W. Ross Davis MD, PC (East Alabama Cardiovascular Associates)
- Taylor David Wachs, DO
- Patricia Ann Wade, M.D.
- Rex Waer, PHARMD
- Theo Donaldson Wages III, D.O.
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0355)
- Wal-Mart Stores East, LP (Vision Center 30-0355)
- Walgreen Co (Walgreens #10947)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.