Latoya Wanzer

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

19 Manigault CT
Florence, SC 29501-8827

Phone

(843) 616-4310

Fax

(843) 799-2350

NPI assigned

Oct 18, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Abc's of Learning, LLC

  • Early Intervention Provider Agency
  • Florence, SC
  • NPI 1811599848
  NPD Authorized official

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

{
    "created_epoch": "1602979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602979200000",
    "number": "1902405368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MANIGAULT CT",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295018827",
            "telephone_number": "843-616-4310",
            "fax_number": "843-799-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MANIGAULT CT",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295018827",
            "telephone_number": "843-616-4310",
            "fax_number": "843-799-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANZER",
        "first_name": "LATOYA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-18",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walton Accident Clinic, LLC
• Walton Family Chiropractic Clinic, LLC
• Walton Family Chiropractic, LLC
• Nathan Scott Walton, D.C.
• Samantha Jo Walton, D.C.
• David Ward, OTR
• Diana J Ward, CRNA
• Lamar Marquis Ward, D.O.
• Marsha Waller Ward
• Sheri Warden-Harmon, LPC

• Early Intervention Provider Agency in Florence, SC
• Providers in Florence, SC by specialty
• Early Intervention Provider Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2020; 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.