NATHAN WILLIAM WAKEFIELD
NPI 1003559766
Student in an Organized Health Care Education/Training Program in Roanoke, VA

Q: What is Nathan Wakefield's NPI number?

The NPI number for Nathan Wakefield is 1003559766. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Q: What is Nathan Wakefield's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Wakefield was last updated on April 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 19, 2022PECOS Enrolled

1906 BELLEVIEW AVE SE, ROANOKE, VA 24014(540) 981-7000 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Nathan William Wakefield NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN WILLIAM WAKEFIELD (NPI 1003559766) is an individual student in an organized health care education/training program in Roanoke, Virginia and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003559766

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameNATHAN WILLIAM WAKEFIELD

Location Address1906 BELLEVIEW AVE SERoanoke, VA 24014-1838

Mailing Address298 Wyndermere DrTroutville, VA 24175-6597 · (919) 727-8165

Phone(540) 981-7000

Sole ProprietorNo

Enumeration DateApril 19, 2022

NPPES CertifiedApril 19, 2022

✔ NPI 1003559766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1906 BELLEVIEW AVE SE, Roanoke, VA 24014

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathan William Wakefield is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.