Active NPI
Katherine Waynick, OTR/L
- Occupational Therapist
- Winston Salem, NC
National Provider Identifier
1790062602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 8104
- Practice address
- 5149 King Rusty LN
Winston Salem, NC 27106-4628 - Phone
- (704) 408-5048
- Fax
- (336) 923-5357
- NPI assigned
- Nov 5, 2011
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 8104 | NC | Primary |
Addresses
Primary practice location
5149 King Rusty LN
Winston Salem, NC 27106-4628
Mailing address
5149 King Rusty LN
Winston Salem, NC 27106-4628
Phone (704) 408-5048
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 |
|---|---|---|---|
| 8104 | NC | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342569600000",
"number": "1790062602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5149 KING RUSTY LN",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271064628",
"telephone_number": "704-408-5048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5149 KING RUSTY LN",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271064628",
"telephone_number": "704-408-5048",
"fax_number": "336-923-5357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAYNICK",
"first_name": "KATHERINE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-05",
"last_updated": "2012-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "8104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
- Sydney Wayand
- Lisa Maria Waye, DNP PMHNP-BC
- Wayne Cannon PT and Associates
- Wayne M. Sotile, PH.D. (Sotile Psychological Associates, PLLC)
- Joshua Waynick, P.A.
- WB Travelmed, PLLC (Passport Health)
- We Can Help Solutions LLP
- We Care Home Health Services (Amazing Hands)
- We Care Management LLC
- We Care VA, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.