MRS. TONDALAYA BEDWELL (NPI# 1629471248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629471248 |
| Entity Type | Individual |
| Full Name | MRS. TONDALAYA BEDWELL |
| Other Name | MRS. TONDALAYA RENE BEDWELL |
| Practice Address |
10445 Dupont Oaks Blvd Fort Wayne IN 46845-8792 |
| Mailing Address |
4201 Senica Dr Fort Wayne IN 46818-9372 |
| Practice Telephone | 2604714770 |
| Mailing Telephone | 2607041435 |
| Enumeration Date | 2014-09-28 |
| Last Update Date | 2014-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 06002104A | IN | Other Service Providers |
| Street Address |
10445 DUPONT OAKS BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-8792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154766459 | Major Hospital | Skilled Nursing Facility | 10445 Dupont Oaks Blvd, Fort Wayne, IN 46845-8792 | 2013-05-01 |
| 1740747922 | Rachelle Lynn Ray | Physical Therapy Assistant | 10445 Dupont Oaks Blvd, Fort Wayne, IN 46845-8792 | 2019-02-25 |
| 1134646086 | Tiffany Jacqueline Salas | Occupational Therapy Assistant | 10445 Dupont Oaks Blvd, Fort Wayne, IN 46845-8792 | 2017-08-22 |
| 1598204000 | Jamie Lynn Wagner | Physical Therapy Assistant | 10445 Dupont Oaks Blvd, Fort Wayne, IN 46845-8792 | 2017-02-16 |
| 1497123780 | Lauren Therese Seculoff | Speech-Language Pathologist | 10445 Dupont Oaks Blvd, Fort Wayne, IN 46845-8792 | 2015-09-03 |
| 1427454792 | Jennifer Powelson | Occupational Therapy Assistant | 10445 Dupont Oaks Blvd, Fort Wayne, IN 46845-8792 | 2014-11-13 |
| 1841695525 | Michelle Mckuras | Physical Therapy Assistant | 10445 Dupont Oaks Blvd, Fort Wayne, IN 46845-8792 | 2014-10-24 |
| 1639585516 | Brenda Horn | Physical Therapist | 10445 Dupont Oaks Blvd, Fort Wayne, IN 46845-8792 | 2014-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679078398 | Wright Choice Hairquarters | Specialist | 1815 Fox Point Trl Apt 2, Fort Wayne, IN 46816-2450 | 2018-03-26 |
| 1225581945 | Hossam Eldine Kamal Youssef | Specialist | 7230 Engle Rd Ste 303, Fort Wayne, IN 46804-2227 | 2016-07-28 |
| 1245600972 | Pediatric Cardiology Associates | Specialist | 5107 N Bend Dr, Fort Wayne, IN 46804-1753 | 2015-10-07 |
| 1598168197 | Melinda Elise Smith | Specialist | 5812 Maplecrest Rd, Fort Wayne, IN 46835-3840 | 2014-09-27 |
| 1881000222 | Denise Sparks | Specialist | 6415 Benham Drive, Fort Wayne, IN 46815 | 2014-07-07 |
| 1790076453 | Susan Anne Walstra | Specialist | 4601 Heatherwind Dr, Apt. D, Fort Wayne, IN 46815-7135 | 2011-04-28 |
| 1265755250 | William A Argus Md PC | Specialist | 7030 Pointe Inverness Way Ste 240, Fort Wayne, IN 46804-7925 | 2010-03-05 |
| 1033376413 | A Step Ahead Therapies, LLC | Specialist | 6013 Belle Isle Ln, Fort Wayne, IN 46835-1263 | 2008-05-21 |
| 1932370590 | Kerri Jo Trentacosti | Specialist | 5939 Brighton Meadows Dr, Apt. C, Fort Wayne, IN 46804-7664 | 2008-03-21 |
| 1649458662 | Bernice Wilson | Specialist | 4202 Buell Dr, Fort Wayne, IN 46807-2743 | 2008-01-31 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
Please comment or provide details below to improve the information on MRS. TONDALAYA BEDWELL.
| 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.