STEPHEN WADDELL (NPI# 1053777573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053777573 |
| Entity Type | Individual |
| Full Name | STEPHEN WADDELL |
| Practice Address |
1307 Jamestown Rd Ste. 103 Williamsburg VA 23185-3381 |
| Mailing Address |
8160 N Henpeck Rd Quinton VA 23141-2313 |
| Practice Telephone | 7572294161 |
| Mailing Telephone | 8043046241 |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | 0019008434 | VA | Other Service Providers |
| Street Address |
1307 JAMESTOWN RD STE. 103 |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23185-3381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497951743 | Performance Chiropractic, LLC | Chiropractor | 1307 Jamestown Rd, 103, Williamsburg, VA 23185-3381 | 2007-06-25 |
| 1255867420 | Shannon Jenkins | Massage Therapist | 1307 Jamestown Rd, Suite 103, Williamsburg, VA 23185 | 2017-05-10 |
| 1982156030 | Lana Torell | Massage Therapist | 1307 Jamestown Rd, Williamsburg, VA 23185-3381 | 2016-10-25 |
| 1578014312 | Shakia Branch | Massage Therapist | 1307 Jamestown Rd, Williamsburg, VA 23185-3381 | 2016-10-17 |
| 1922450030 | Christine Kenfield | Massage Therapist | 1307 Jamestown Rd, Ste 103, Williamsburg, VA 23185-3381 | 2016-07-13 |
| 1487091278 | Jennifer Lynne Sadler | Registered Nurse | 1307 Jamestown Rd, Williamsburg, VA 23185-3381 | 2013-06-03 |
| 1316117914 | Beth L. Allar | Massage Therapist | 1307 Jamestown Rd, Suite 103, Williamsburg, VA 23185-3381 | 2008-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215579412 | Marian Shearin | Technician | 112 Indian Circle, Williamsburg, VA 23185 | 2019-10-09 |
| 1093363251 | 1st Choice In-homecare, Inc. | Durable Medical Equipment & Medical Supplies | 161-a John Jefferson Road Ste 101, Williamsburg, VA 23185 | 2019-08-30 |
| 1265939482 | Michelle Antionette Hill | Counselor | 1769 Jamestown Rd Ste 107, Williamsburg, VA 23185 | 2018-04-13 |
| 1114437480 | Kimberly Anne Allan | Orthotic Fitter | 1811 Jamestown Rd., Williamsburg, VA 23185 | 2017-10-02 |
| 1881115590 | Shawn Patrick Mcnulty | Counselor | Colonial Behavioral Health, 1657 Merrimac Trail, Williamsburg, VA 23185 | 2017-07-03 |
| 1790215986 | Sea Change Therapy Pllc | Community/Behavioral Health | 3308 Ash Vw, Williamsburg, VA 23185 | 2017-06-19 |
| 1316479322 | Maureen Bounds | Pharmacist | 230 Gooch Dr, Williamsburg, VA 23185 | 2017-03-29 |
| 1386196970 | Joshua Desilva | Psychologist | 240 Gooch Drive, 2nd Floor, Williamsburg, VA 23185 | 2016-10-29 |
| 1750837001 | Ellen Lerose | Pharmacist | 5601-b Richmond Road, Williamsburg, VA 23185 | 2016-08-28 |
| 1194173922 | Michael C. Shuck, Dds PC | Dentist | 1480 Quarterpath Rd, Ste 2a, Williamsburg, VA 23185 | 2016-06-02 |
| Find all providers in zip 23185 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104448075 | Andrea Robinson | Health Educator | 10320 Memory Ln Ste B, Chesterfield, VA 23832-8832 | 2020-05-13 |
| 1093351397 | La Wanda Wright | Health Educator | 10087 Kings Hwy, King George, VA 22485-3445 | 2019-11-21 |
| 1124664560 | Keyonda Smith | Health Educator | 4707 Briggs Rd, Fairfax, VA 22030-5704 | 2019-11-20 |
| 1114563863 | Jaelyn Munson | Health Educator | 3811 Corporate Rd, Petersburg, VA 23805-9288 | 2019-11-18 |
| 1346800190 | Laura Reasor | Health Educator | 143 3rd St Nw Ste 3, Pulaski, VA 24301-4900 | 2019-06-14 |
| 1003476938 | Terri Alt | Health Educator | 106 Rucker St Ste 316, Stuart, VA 24171-1619 | 2019-06-13 |
| 1538637855 | Lindsay Kruger | Health Educator | 2 W Franklin Street, Richmond, VA 23220 | 2018-11-05 |
| 1013495225 | Timothy Crooks | Health Educator | 11001 Chester Garden Cir, Chester, VA 23831-5701 | 2018-07-31 |
| 1326531070 | Mark Vick | Health Educator | 2016 Mount Vernon Ave Ste 209, Alexandria, VA 22301-1342 | 2018-06-07 |
| 1699263608 | Jeraline Rachele Evans | Health Educator | 151 Mcintire Park Dr. (piedmont Family Ymca), Charlottesville, VA 22902 | 2018-04-25 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSBURG |
| Zip Code | 23185 |
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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.