WANDA FAYE EDWARDS (NPI# 1477054849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477054849 |
| Entity Type | Individual |
| Full Name | WANDA FAYE EDWARDS |
| Credential | LPN |
| Practice Address |
5666 Longbow Dr Stone Mountain GA 30087-5230 |
| Practice Telephone | 9543051262 |
| Mailing Telephone | 6782358439 |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2020-05-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN090419 | GA | Nursing Service Providers |
| N | 164W00000X | Licensed Practical Nurse | PN5196378 | FL | Nursing Service Providers |
| N | 247000000X | Technician, Health Information | Technologists, Technicians & Other Technical Service Providers | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 385H00000X | Respite Care | Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043453756 | Wanda Edwards | Physical Therapy Assistant | 7504 Woodknoll D, Charlotte, NC 28217 | 2009-04-10 |
| 1720086697 | Wanda E Edwards | Registered Nurse | 5600 W Maple Rd, Suite B 206, West Bloomfield, MI 48322-3704 | 2005-07-13 |
| 1174601488 | Wanda Edwards | Psychologist | 671 Hoes Ln, Piscataway, NJ 08854-5627 | 2006-11-02 |
| Street Address |
5666 LONGBOW DR |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30087-5230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891296661 | Margie's Natural Care & Adult Services | Licensed Practical Nurse | 5666 Longbow Dr, Stone Mountain, GA 30087-5230 | 2018-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1245882943 | Lynell Williams | Counselor | 505 Lilburn-stone Mountain Road, Suite 235, Stone Mountain, GA 30087 | 2019-07-12 |
| 1003302688 | Mark Andrew Stevens | Physical Therapist | 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 | 2018-07-06 |
| 1154816825 | Tuan Minh Khong | Physician Assistant | 6301 Southland Rdg, Stone Mountain, GA 30087 | 2018-06-26 |
| 1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
| 1578979381 | Edmund Thomas Jr. | Dentist | 2536 Rockbridge Rd Ste 103, Stone Mountain, GA 30087 | 2014-07-02 |
| 1790027688 | Robert Fanning Eaves Jr. | General Practice | 5394 Leatherstocking Lane, Stone Mountain, GA 30087 | 2013-03-19 |
| 1609128917 | Mary Marlene Muse | Lactation Consultant, Non-RN | 510 Navarre Drive, Stone Mountain, GA 30087 | 2012-10-10 |
| 1457680704 | Cleo Evans | Counselor | 5638 Manassas Run, Stone Mountain, GA 30087 | 2009-12-16 |
| 1932348521 | Lawrence Randy Sheber | Dentist | 5500-a Lilburn Stone Mountain Road, Stone Mountain, GA 30087 | 2009-02-05 |
| Find all providers in zip 30087 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265829824 | Latore Williams | Licensed Practical Nurse | 5300 Ridge Forest Drive, Stone Mountain, GA 30083 | 2015-04-22 |
| 1831592948 | Latore Williams | Licensed Practical Nurse | 5300 Ridge Forest Dr, Stone Mountain, GA 30083-3882 | 2014-10-02 |
| 1841639176 | Kendra Michelle Taylor | Licensed Practical Nurse | 2709 Tree Mountain Pkwy, Stone Mountain, GA 30083-6774 | 2013-06-20 |
| 1649614017 | Miriam Thompson | Licensed Practical Nurse | 5353 Bridgewater Trce, Stone Mountain, GA 30088-3345 | 2013-04-29 |
| 1831446194 | Janle Ferguson | Licensed Practical Nurse | 410 Ashley Pl, Stone Mountain, GA 30083-3385 | 2012-08-06 |
| 1013162387 | Trenese Cox | Licensed Practical Nurse | 7304 Tree Mountain Pkwy, Stone Mountain, GA 30083-6743 | 2008-11-29 |
| 1891296661 | Margie's Natural Care & Adult Services | Licensed Practical Nurse | 5666 Longbow Dr, Stone Mountain, GA 30087-5230 | 2018-02-26 |
| 1639566730 | Raymond Barnes | Licensed Practical Nurse | 5300 Ridge Forest Dr, Stone Mountain, GA 30083-3882 | 2015-04-16 |
| 1477956589 | Raymond | Licensed Practical Nurse | 5300 Ridge Forest Dr, Stone Mountain, GA 30083-3882 | 2014-10-02 |
| 1083889877 | Asiyah Daanya Muhsin-thomas | Licensed Practical Nurse | 913 Main St, Suite K, Stone Mountain, GA 30083-3096 | 2008-04-23 |
| Find all providers in STONE MOUNTAIN | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30087 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.