Tawanna Latoya Roane-Still, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN097610 Issued in GA

Practice address

2109 Fairburn Rd Ste a
Douglasville, GA 30135-1037

Phone

(770) 726-7958

NPI assigned

Dec 23, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Tawanna Latoya Roane Former name

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.

• Healthqwest LLC

  • Methadone Clinic
  • Douglasville, GA
  • NPI 1730482621
  NPD

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1760079800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 FAIRBURN RD STE A",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351037",
            "telephone_number": "770-726-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 FAIRBURN RD STE A",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351037",
            "telephone_number": "770-726-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROANE-STILL",
        "first_name": "TAWANNA",
        "middle_name": "LATOYA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN097610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAWANNA",
            "last_name": "ROANE",
            "middle_name": "LATOYA",
            "prefix": "MS.",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rite Aid Pharmacy
• Angelica D Rivas
• Juritza Y Rivera, DC
• RMS Healthcheck/Know Your Labs
• RN Advocate, LLC
• Brittany Roberts, RBT
• Felicia Roberts
• Douglas Mack Robinson Jr.
• Kendra Robinson, RBT
• Shaketa Robinson, LPC

• Licensed Practical Nurse in Douglasville, GA
• Providers in Douglasville, 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 Dec 29, 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.