Individual provider Active NPI

Wanda Trotman, CRNP

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1891205472
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08170368 Issued in TX
Practice address
5003 Greta Dr NW
Huntsville, AL 35810-6114
Phone
(256) 289-9783
NPI assigned
Oct 9, 2017
Last updated
Oct 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F08170368 TX Primary

Addresses

Primary practice location

5003 Greta Dr NW
Huntsville, AL 35810-6114

Mailing address

5003 Greta Dr NW
Huntsville, AL 35810-6114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114003502 GA Practitioner - Nurse Practitioner 1850621806 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23661TNMDPsychiatry Physician
F08170368TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Health Clinics LLC CurrentSince Jun 11, 2025 Accepting new patients

Locations

4463 Towne Lake Pkwy
Ste 200
Woodstock, GA 30189
Phone (678) 445-1105

Interoperability endpoints

  • Direct secure messaging: wanda.trotman.p1@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: wanda.trotman.p2@direct.alegiscare.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507507200000",
    "number": "1891205472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 GRETA DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358106114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 GRETA DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358106114",
            "telephone_number": "256-289-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTMAN",
        "first_name": "WANDA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2017-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F08170368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.