Active NPI
Edwin Harold Waldrop Jr., N.P.
- Psychiatric/Mental Health Nurse Practitioner
- Rutherfordton, NC
National Provider Identifier
1821185489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0050-02616
- Practice address
- 182 W Court St
Rutherfordton, NC 28139-2805 - Phone
- (828) 287-7806
- Fax
- (828) 287-0004
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0050-02616 | NC | Primary |
Addresses
Primary practice location
182 W Court St
Rutherfordton, NC 28139-2805
Mailing address
PO Box 878
Rutherfordton, NC 28139-0878
Phone (828) 287-7806
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6113028 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0050-02616 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Asthma and Allergy Center PA | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
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.
-
- Allergy & Immunology Physician
- Charlotte, NC
- NPI 1215995444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423008000000",
"number": "1821185489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 878",
"city": "RUTHERFORDTON",
"state": "NC",
"postal_code": "281390878",
"telephone_number": "828-287-7806",
"fax_number": "828-287-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "182 W COURT ST",
"city": "RUTHERFORDTON",
"state": "NC",
"postal_code": "281392805",
"telephone_number": "828-287-7806",
"fax_number": "828-287-0004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDROP",
"first_name": "EDWIN",
"middle_name": "HAROLD",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2015-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "0050-02616",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6113028",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rutherfordton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.