Wilma Lynne Wachowiak, APRN, BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

49418 Issued in NC

Practice address

3344 Presson Rd
Monroe, NC 28112-9140

Phone

(704) 292-2749

Fax

(704) 292-2721

NPI assigned

Jul 15, 2006

Last updated

May 11, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Willie Lynne Wachowiak Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Caromont Medical Group Inc

  dba Endocrinology Associates

  • Endocrinology, Diabetes & Metabolism Physician
  • Gastonia, NC
  • NPI 1184805103
  NPD (past)
• Caromont Medical Group Inc

  • Family Medicine Physician
  • Stanley, NC
  • NPI 1972301380
  NPD (past)
• Indian Trail Family Medicine

  • Family Medicine Physician
  • Indian Trail, NC
  • NPI 1003842782
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242000000000",
    "number": "1982620423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 NOLESGATE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282159742",
            "telephone_number": "704-536-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3344 PRESSON RD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281129140",
            "telephone_number": "704-292-2749",
            "fax_number": "704-292-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHOWIAK",
        "first_name": "WILMA",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2009-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "49418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPA699",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIE",
            "last_name": "WACHOWIAK",
            "middle_name": "LYNNE",
            "prefix": "MS.",
            "credential": "RN, FNP-C, MSN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Victoria Vollmer, LMFTA
• Aesha Vora
• Sara Nicole Voss, PA-C
• Noah Vroman
• W Randall Cline DDS PA
• Dylan Wagoner, PHARMD
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0877)
• Wal-Mart Stores East, LP.
• Alexandra Ewa Walczyszyn, MD
• Walgreen Co (Walgreens #11692)

• Family Nurse Practitioner in Monroe, NC
• Providers in Monroe, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.