MRS. TONNA KARENLYN WYATT (NPI# 1376904011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376904011 |
| Entity Type | Individual |
| Full Name | MRS. TONNA KARENLYN WYATT |
| Credential | FNP |
| Practice Address |
5070 Fayetteville Rd Lumberton NC 28358-2108 |
| Mailing Address |
2002 N Cedar St Ste B Lumberton NC 28358-3926 |
| Practice Telephone | 9107390133 |
| Practice Fax Number | 9107398915 |
| Mailing Telephone | 9102723048 |
| Mailing Fax Number | 9107383764 |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 163204 | NC | Nursing Service Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
5008461 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5070 FAYETTEVILLE RD |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-2108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881611028 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5070 Fayetteville Rd, Lumberton, NC 28358-2108 | 2006-07-16 |
| 1730790866 | Dustin Packer | Pharmacist | 5070 Fayetteville Rd, Lumberton, NC 28358-2108 | 2020-08-12 |
| 1871039776 | Emily Opeka | Pharmacist | 5070 Fayetteville Rd, Pharmacy, Lumberton, NC 28358-2108 | 2017-01-16 |
| 1104362003 | Yvonne Pham | Pharmacist | 5070 Fayetteville Rd, Lumberton, NC 28358-2108 | 2017-01-16 |
| 1235595927 | The Clinic At Walmart | Clinic/Center | 5070 Fayetteville Rd, Lumberton, NC 28358-2108 | 2016-01-11 |
| 1770844995 | Brooke Howie Grooms | Nurse Practitioner | 5070 Fayetteville Rd, Lumberton, NC 28358-2108 | 2012-06-05 |
| 1386901866 | Ann Marie Hunt | Nurse Practitioner | 5070 Fayetteville Rd, Lumberton, NC 28358-2108 | 2012-04-20 |
| 1619202884 | Terri Lisa Davis Campbell | Nurse Practitioner | 5070 Fayetteville Rd, Lumberton, NC 28358-2108 | 2009-10-06 |
| 1558437301 | Elizabeth Anne Windley | Optometrist | 5070 Fayetteville Rd, Lumberton, NC 28358-2108 | 2006-11-24 |
| 1689756033 | Wal-mart Stores East, Lp | Technician/Technologist | 5070 Fayetteville Rd, Lumberton, NC 28358-2108 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
| 1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
| 1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
| 1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
| 1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
| 1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
| 1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
| 1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
| 1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
| 1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
| Find all providers in zip 28358 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598931636 | Np Health Clinic, Pllc | Nurse Practitioner | 837 N Main St Spc 118, Lumberton, TX 77657-1018 | 2008-05-07 |
| 1235676628 | Elizabeth Helen Aronin | Nurse Practitioner | 460 Country Club Road, Rodeson County Health Department, Lumberton, NC 28360 | 2017-01-24 |
| 1477928760 | Southeastern Regional Physician Services | Nurse Practitioner | 500 W 27th St, Lumberton, NC 28358-3021 | 2015-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334647 | Kennitrish Nickola Bracey | Nurse Practitioner | 5124 Red Poll Dr, Greensboro, NC 27405-9794 | 2020-10-17 |
| 1255947974 | Alice Lorraine Fagan | Nurse Practitioner | 2130 Highland View Ln, Charlotte, NC 28214-9425 | 2020-09-17 |
| 1689286270 | Meylien Delgado Lee | Nurse Practitioner | 510 S Spruce St, Wilkesboro, NC 28697-2846 | 2020-08-17 |
| 1124638317 | Jakita Strong | Nurse Practitioner | 1506 Ladora Dr, Charlotte, NC 28262-6414 | 2020-08-03 |
| 1689284820 | Corrie Hansen | Nurse Practitioner | 1700 Tarboro St W Ste 100, Wilson, NC 27893-3481 | 2020-08-03 |
| 1609490382 | Brooke Martin Shaw | Nurse Practitioner | 5514, 350 N Cox St, Ste 6, Asheboro, NC 27203 | 2020-05-29 |
| 1467075440 | Lydia A. Teague | Nurse Practitioner | 120 N Medical Drive Unc-ch Son: Carrington Hall Chapel, Chapel Hill, NC 27599-0001 | 2020-05-25 |
| 1689209710 | Ana Rita Frey | Nurse Practitioner | 601 E 5th St Ste 140, Charlotte, NC 28202-3092 | 2020-03-09 |
| 1578109427 | Mia Licole Saulter | Nurse Practitioner | 3961 Stafford Run Ct, High Point, NC 27265-9480 | 2019-11-25 |
| 1801430715 | Erica Nicole Ebohon | Nurse Practitioner | 3803 Arundel Ct, Greensboro, NC 27406-9832 | 2019-11-04 |
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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.