Individual provider Active NPI

Pamela Renee Waynick-Rogers, NP

  • Women's Health Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1871017053
Registry record updated Jul 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
6595 Issued in TN
Practice address
1810 Hayes St
Nashville, TN 37203-2504
Phone
(615) 321-0005
NPI assigned
Jul 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 6595 TN Primary

Addresses

Primary practice location

1810 Hayes St
Nashville, TN 37203-2504

Mailing address

915 Briarwood CRST
Nashville, TN 37221-4353
Phone (615) 243-4054

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6595TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Clinic for Women Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18080/brand/1/csg/1/fhir/r4
  • Direct secure messaging: pamela.waynick-rogers.1@18080.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501459200000",
    "number": "1871017053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 BRIARWOOD CRST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372214353",
            "telephone_number": "615-243-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 HAYES ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032504",
            "telephone_number": "615-321-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYNICK-ROGERS",
        "first_name": "PAMELA",
        "middle_name": "RENEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2017-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "6595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2017; 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.