Active NPI
Rhianna Colette Wimberley, RN, BSN
- Registered Nurse
- Jacksonville, NC
National Provider Identifier
1851764427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 201041756RN
- Practice address
- 5079 Western Blvd
2G
Jacksonville, NC 28546-7185 - Phone
- (503) 975-0055
- NPI assigned
- Nov 4, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 201041756RN | OR | Primary |
Addresses
Primary practice location
5079 Western Blvd
2G
Jacksonville, NC 28546-7185
Mailing address
5079 Western Blvd
2G
Jacksonville, NC 28546-7185
Phone (503) 975-0055
Other names 1
- Rhianna Naylor
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201041756RN | OR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446595200000",
"number": "1851764427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5079 WESTERN BLVD",
"address_2": "2G",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285467185",
"telephone_number": "503-975-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5079 WESTERN BLVD",
"address_2": "2G",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285467185",
"telephone_number": "503-975-0055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIMBERLEY",
"first_name": "RHIANNA",
"middle_name": "COLETTE",
"credential": "RN, BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-04",
"last_updated": "2015-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "201041756RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RHIANNA",
"last_name": "NAYLOR",
"credential": "RN, BSN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.