Wyconda Elaine Weddle

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0000220121 Issued in TN

Practice address

1 Harrison PLZ
Florence, AL 35632-0002

Phone

(256) 765-4984

NPI assigned

Nov 11, 2024

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

Other names 1

• Elaine Weddle Professional name

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": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1659195394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 BASCOM RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383059698",
            "telephone_number": "731-225-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HARRISON PLZ",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356320002",
            "telephone_number": "256-765-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDDLE",
        "first_name": "WYCONDA",
        "middle_name": "ELAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000220121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "WEDDLE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Wayne G. Stanley M.D., PC
• Roanna T Waynick, RN
• Molly L Weaver
• Joseph Michael Webb, MD
• Robert John Webb, MD
• Wellness Walk-in Clinic, LLC
• Ryan Todd Wells VII, CRNA
• Valerie Wesson, LPC
• West Anesthesia Staffing LLC
• Kyle R West, CRNA

• Family Nurse Practitioner in Florence, AL
• Providers in Florence, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.

Verify at the official NPI Registry.