WANDA MAYBERRY
NPI 1497206189
Clinic/Center - Developmental Disabilities in Keystone Heights, FL

Q: What is Wanda Mayberry's NPI number?

The NPI number for Wanda Mayberry is 1497206189. It was assigned to this individual provider in the NPPES registry on October 18, 2016.

Q: What is Wanda Mayberry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Q: When was this NPI record last updated?

The NPPES record for Wanda Mayberry was last updated on November 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 18, 2016

1445 S LAWRENCE BLVD, KEYSTONE HEIGHTS, FL 32656(352) 448-9843(888) 213-4424 Get Directions Write a Review

NPPES record last updated: November 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2016, Oct 18, 2016 (2 updates tracked since 2016).

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About Wanda Mayberry NPPES

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

WANDA MAYBERRY (NPI 1497206189) is an individual developmental disabilities provider in Keystone Heights, Florida and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1497206189

Entity TypeIndividualFemale

Primary Taxonomy261QD1600X

Provider Legal NameWANDA MAYBERRY

Location Address1445 S LAWRENCE BLVDKeystone Heights, FL 32656-9349

Mailing AddressPo Box 82Keystone Heights, FL 32656-0082 · (352) 448-9843 · Fax (888) 213-4424

Phone(352) 448-9843

Fax(888) 213-4424

Sole ProprietorYes

Enumeration DateOctober 18, 2016

Last NPPES UpdateNovember 2, 20162 updates tracked since enumeration

✔ NPI 1497206189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities

Taxonomy Code261QD1600X

Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

1445 S LAWRENCE BLVD, Keystone Heights, FL 32656

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda Mayberry's NPI number?

The NPI number for Wanda Mayberry is 1497206189. It was assigned to this individual provider in the NPPES registry on October 18, 2016.

Where is Wanda Mayberry located?

Wanda Mayberry practices at 1445 S Lawrence Blvd, Keystone Heights, FL 32656. The listed phone number is (352) 448-9843.

What is Wanda Mayberry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Wanda Mayberry was last updated on November 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.