Amy Waugh Wilson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

33084 Issued in WV

Practice address

900 Virginia St E Ste 500
Charleston, WV 25301-2805

Phone

(681) 313-4759

Fax

(844) 800-3954

NPI assigned

Oct 17, 2022

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

Electronic endpoints 1

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": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1740906312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 VISTA VILLAGE DR",
            "city": "ONA",
            "state": "WV",
            "postal_code": "255459544",
            "telephone_number": "681-203-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 VIRGINIA ST E STE 500",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253012805",
            "telephone_number": "681-313-4759",
            "fax_number": "844-800-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAUGH WILSON",
        "first_name": "AMY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "33084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "waugh108@marshall.edu",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "900 Virginia St E Ste 500",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253012805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anna Watts
• Bethany Watts
• Kayla Watts
• Kiara Watts
• Thomas Watts
• Pennie Lee Waugh
• Tabitha D. Waugh, APRN-CNP
• Teresa Gayle Waugh, RN, CDE
• Ashley Catherine Waybright, FNP-C
• Chelsea Waybright

• Licensed Practical Nurse in Charleston, WV
• Providers in Charleston, WV by specialty
• Licensed Practical Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.