TERRY WADDELL (NPI# 1376047522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376047522 |
| Entity Type | Individual |
| Full Name | TERRY WADDELL |
| Practice Address |
412 E Main St New London IA 52645-1220 |
| Practice Telephone | 6415720065 |
| Mailing Telephone | 6415720065 |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A114616 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
412 E MAIN ST |
| City | NEW LONDON |
| State | IA |
| Zip Code | 52645-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437206976 | New London C.s.d. | Local Education Agency (LEA) | 106 Jack Wilson Dr., New London, IA 52645 | 2007-01-05 |
| 1023081197 | Care Initiatives | Skilled Nursing Facility | 100 Care Circle Street, New London, IA 52645-0136 | 2006-02-09 |
| 1780799189 | Mark Christ Pothitakis | Dentist | 107 E Toothache Dr, New London, IA 52645-1141 | 2006-08-19 |
| 1073770467 | Dr. Mark Pothitakis | Dentist | 107 E Toothache Dr, New London, IA 52645-1141 | 2008-05-22 |
| 1033198478 | Benjamin Ryan Carter | Chiropractor | 107 E Main St, New London, IA 52645-1215 | 2006-01-13 |
| 1982264578 | Francis Counseling Services Inc | Counselor | 304 E Main St Ste 200, New London, IA 52645-1218 | 2019-06-17 |
| 1275020018 | Mallori Vogelpohl | Counselor | 304 E Main St, New London, IA 52645-1218 | 2018-04-17 |
| 1457800195 | Truth Foundation, Inc. | Community/Behavioral Health | 304 E Main St, New London, IA 52645-1218 | 2016-09-22 |
| 1447704226 | Laura Jean Waldrop | Social Worker | 304 E Main St, New London, IA 52645-1218 | 2016-08-09 |
| 1508100199 | Samuel John Reighad | Counselor | 304 E Main St, New London, IA 52645-1218 | 2012-11-20 |
| Find all providers in zip 52645 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1346694353 | Peter Woods | Nurse Practitioner | 270 Montauk Ave, New London, CT 06320-4712 | 2016-04-15 |
| 1326351032 | Kimberly A Kurey | Nurse Practitioner | 400 Bayonet St Ste 206, New London, CT 06320-2633 | 2010-07-22 |
| 1366634776 | Life Long Care of New London Pllc | Nurse Practitioner | 276 Newport Rd Ste 107, New London, NH 03257-5468 | 2007-08-10 |
| 1992748784 | Betsy Gaffney | Nurse Practitioner | 255 Hempstead St, New London, CT 06320-6204 | 2006-06-13 |
| 1295706554 | Shirley A Mendes | Nurse Practitioner | 270 Mohegan Avenue, Warnshuis Building, New London, CT 06320-4125 | 2006-01-26 |
| 1588643019 | Kathleen M Kidder | Nurse Practitioner | 276 Newport Rd, The Gallery, Suite 107, New London, NH 03257-5468 | 2006-01-12 |
| 1588651244 | Rhonda S Niemi Judge | Nurse Practitioner | 1370 N Shawano St, Ste A, New London, WI 54961-7944 | 2005-09-28 |
| 1124581681 | Fnp Medical Services LLC | Nurse Practitioner | 400 Bayonet St Ste 206, New London, CT 06320-2633 | 2019-04-11 |
| 1457835357 | Natasha Singer | Nurse Practitioner | 37 Beech Dr, New London, CT 06320-3003 | 2018-09-18 |
| Find all providers in NEW LONDON | ||||
| City | NEW LONDON |
| Zip Code | 52645 |
Please comment or provide details below to improve the information on TERRY WADDELL.
| 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.