WANDA RAYE STIDHAM
NPI 1821982489
Nurse Practitioner - Primary Care in Booneville, KY

NPI Status: Active since June 06, 2025

Contact Information

453 OLD KY 11
BOONEVILLE, KY
ZIP 41314
Phone: (606) 593-6400

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  • Individual
  • Female
  • Nurse Practitioner
  • Primary Care

About WANDA STIDHAM

This page provides the complete NPI Profile along with additional information for Wanda Stidham, a provider established in Booneville, Kentucky with a medical specialization in Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1821982489 assigned on June 2025. The practitioner's primary taxonomy code is 363LP2300X with license number 4042301 (KY). The provider is registered as an individual and her NPI record was last updated June 2025.

NPI
1821982489
Provider Name
WANDA RAYE STIDHAM
Gender
Female
Entity Type
Individual
Location Address
453 OLD KY 11 BOONEVILLE, KY 41314
Location Phone
(606) 593-6400
Mailing Address
453 OLD KY 11 BOONEVILLE, KY 41314
Mailing Phone
(606) 593-6400
Is Sole Proprietor?
No
Enumeration Date
06-06-2025
Last Update Date
06-09-2025
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A nurse practitioner (NP) like Wanda Stidham is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Primary Care

Taxonomy Code
363LP2300X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
4042301
License State
KY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1821982489
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28411884416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 1 + 8 + 8 + 4 + 4 + 1 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1821982489 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932663846 LUVENA HENSLEY APRN, FNP-C,PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)453 OLD KY 11
BOONEVILLE, KY 41314
(606) 593-6400
1528160066 DARLENE WILSON APRN
Individual
Nurse Practitioner (Family)453 OLD KY 11
BOONEVILLE, KY 41314
(606) 593-6400
1841500998IN HOUSE PRIMARY CARE SERVICES PLLC
Organization
Clinic/Center (Health Service)453 OLD KY 11
BOONEVILLE, KY 41314
(606) 593-6400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821982489, enumerated in the NPI registry as an "individual" on June 06, 2025

The provider is located at 453 Old Ky 11 Booneville, Ky 41314 and the phone number is (606) 593-6400

The provider's speciality is Nurse Practitioner with taxonomy code 363LP2300X with a focus in Primary Care

This NPI record was last updated on June 06, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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