MRS. WANDA D SMITH (NPI# 1669677522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669677522 |
| Entity Type | Individual |
| Full Name | MRS. WANDA D SMITH |
| Credential | COF,CMF |
| Practice Address |
2302 Wayne Memorial Dr Goldsboro NC 27534-1726 |
| Practice Telephone | 9197356936 |
| Practice Fax Number | 9197353001 |
| Mailing Telephone | 9197356936 |
| Mailing Fax Number | 9197353001 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | 7795203 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7795203 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225551245 | Wanda Elaine Smith | Counselor | 3007 Knight St. Suite 200, Shreveport, LA 71105 | 2017-07-21 |
| 1346626157 | Wanda Smith | Social Worker | 13005 Marthas Choice Cir, Bowie, MD 20720-4704 | 2015-08-04 |
| 1083045496 | Wanda Elaine Smith | Assisted Living Facility | 1046 E. Lancaster Blvd, Lancaster, CA 93535 | 2013-12-11 |
| 1407193550 | Wanda Denice Smith | Counselor | 2416 Sw Oxford Dr, Lawton, OK 73505-0802 | 2013-01-09 |
| 1972797348 | Wanda Ivelisse Smith | Family Medicine | 1301 W Colonial Dr, Orlando, FL 32804-7133 | 2007-08-29 |
| 1841321346 | Wanda G Smith | Dentist | 829 N Jefferson St, Wilmington, DE 19801-1431 | 2007-03-08 |
| 1144392796 | Wanda Renee Smith | Speech-Language Pathologist | 1705 Country Garden Dr, Shelby, NC 28150-6162 | 2006-11-15 |
| 1154813582 | Wanda B Smith | Counselor | 113 W Convent St, Lafayette, LA 70501 | 2018-06-01 |
| 1710488465 | Wanda H Smith | Occupational Therapist | 29200 Schoolcraft Rd, Livonia, MI 48150-2228 | 2018-02-27 |
| 1942755863 | Wanda G Smith | Registered Nurse | 1910 Jackson St, Monroe, LA 71202 | 2016-08-20 |
| Street Address |
2302 WAYNE MEMORIAL DR |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-1726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790853810 | Wayne Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 2302 Wayne Memorial Dr, Goldsboro, NC 27534-1726 | 2006-11-30 |
| 1659824274 | Wayne Pharmacy Inc | Pharmacy | 2302 Wayne Memorial Dr, Goldsboro, NC 27534-1726 | 2016-08-01 |
| 1528416898 | Wayne Pharmacy, Inc. | Pharmacy | 2302 Wayne Memorial Dr, Goldsboro, NC 27534-1726 | 2016-05-27 |
| 1013364827 | Gail Wiggins Drew | Pharmacist | 2302 Wayne Memorial Dr, Goldsboro, NC 27534-1726 | 2016-05-22 |
| 1932220654 | Wayne Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 2302 Wayne Memorial Dr, Goldsboro, NC 27534-1726 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821553355 | Danielle Douglas | Orthotic Fitter | 2260 S Church St Ste 601, Burlington, NC 27215-5380 | 2019-02-08 |
| 1093279838 | Latisha Barnes | Orthotic Fitter | M04 Davison Building, Durham, NC 27710-0001 | 2019-01-25 |
| 1386113868 | Melissa Meares | Orthotic Fitter | 1473 Duckworth St, Morganton, NC 28655-9381 | 2018-11-14 |
| 1700389657 | Taylor Kathryn Raines | Orthotic Fitter | 325 Page Rd N Ste 3, Pinehurst, NC 28374-0088 | 2018-03-16 |
| 1588101307 | Barbara C Hudnell | Orthotic Fitter | 223 Bungalow Dr, New Bern, NC 28562-8454 | 2017-01-31 |
| 1558735118 | Lewis Bell | Orthotic Fitter | 1004b W Cumberland St, Dunn, NC 28334-4716 | 2015-11-19 |
| 1033595707 | Mark R Chapman Jr. | Orthotic Fitter | 10931 E Independence Blvd Ste M, Matthews, NC 28105-5057 | 2015-08-05 |
| 1740672328 | Angeline Reiling | Orthotic Fitter | 2680 Henderson Dr Ste 3, Jacksonville, NC 28546 | 2015-02-19 |
| 1053658757 | Wendy Carter | Orthotic Fitter | 8320 Bon Rea Dr, Charlotte, NC 28226 | 2013-01-15 |
| 1164798054 | Betty J Powell | Orthotic Fitter | 1800 Parkwood Blvd W, Suite A, Wilson, NC 27893-3566 | 2012-03-26 |
| Find all providers with the same taxonomy | ||||
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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.