MRS. NICHOLE LYNNE WAJDA (NPI# 1740554401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740554401 |
| Entity Type | Individual |
| Full Name | MRS. NICHOLE LYNNE WAJDA |
| Credential | SLPA |
| Practice Address |
104 Northfield Dr Minooka IL 60447-8273 |
| Practice Telephone | 8154672744 |
| Mailing Telephone | 8154672744 |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2013-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
217000242 | IL | Speech, Language and Hearing Service Providers |
| Street Address |
104 NORTHFIELD DR |
| City | MINOOKA |
| State | IL |
| Zip Code | 60447-8273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326538596 | Wanda Hardy Perkins | Social Worker | 203 W Mondamin St, Minooka, IL 60447 | 2018-05-14 |
| 1629597729 | Jennifer Praveen | Psychologist | 333 Mcevilly Rd, Minooka, IL 60447 | 2017-09-11 |
| 1013164193 | Carrie Ann Skubic | Counselor | 113 W. Wapella St., Suite 2, Minooka, IL 60447 | 2008-08-20 |
| 1164624680 | Minooka Comm Hs Dist 111 | Local Education Agency (LEA) | 203 W Mondamin, Minooka, IL 60447 | 2007-06-05 |
| 1710196191 | Ridge Dental Group, Ltd | Dentist | 2003 Ridge Road, Minooka, IL 60447 | 2007-05-22 |
| 1629109020 | James Dale Mcgehee | Dentist | 123 Mondamin Street, Minooka, IL 60447 | 2007-03-08 |
| 1073554341 | Minooka Fire Protection District | Ambulance | 413 W Mondamin, Minooka, IL 60447 | 2006-06-09 |
| 1639110612 | Angela Solis | Counselor | 113 West Wapella Street, Suite 2, Minooka, IL 60447 | 2006-06-09 |
| 1811944366 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 2051 Ridge Rd, Minooka, IL 60447 | 2006-05-30 |
| 1427205111 | Crossroads Counseling Services, LLC | Counselor | 113 W. Wapella St., Suite 2, Minooka, IL 60447 | 2008-08-25 |
| Find all providers in zip 60447 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461163 | Jennifer Jackson | Specialist/Technologist | 149 Flagstaff Dr, Bolingbrook, IL 60440-2657 | 2020-09-10 |
| 1427666825 | Claudia Diane Sudduth | Specialist/Technologist | 2047 E 75th St Apt 2b, Chicago, IL 60649-3637 | 2020-07-21 |
| 1922620277 | Marina Leticia Washington | Specialist/Technologist | 3303 Wexford Ln, Joliet, IL 60431-0643 | 2020-05-09 |
| 1568000453 | Aleksandra G Maslowiec | Specialist/Technologist | 8904 W 140th St Apt 3g, Orland Park, IL 60462-9225 | 2019-12-11 |
| 1396381067 | Casey Malman | Specialist/Technologist | 901 W Madison St Unit 701, Chicago, IL 60607-3372 | 2019-11-18 |
| 1467001800 | Raoof Mirza Ali Baig | Specialist/Technologist | 564 Abbey Rd, Bartlett, IL 60103-1926 | 2019-09-09 |
| 1598314072 | Shawna Grace Stadtherr | Specialist/Technologist | 2925 Manchester Dr, Montgomery, IL 60538-4063 | 2019-09-08 |
| 1770139834 | Laura Joana Ayla | Specialist/Technologist | 440 N Anna Ln, Romeoville, IL 60446-5283 | 2019-08-14 |
| 1801456454 | Andy's Hub LLC | Specialist/Technologist | 922 North Blvd Apt 607, Oak Park, IL 60301-1244 | 2019-06-17 |
| 1548729148 | Jamie Sanberg | Specialist/Technologist | 314 N Warwick Ave Apt 2c, Westmont, IL 60559-1583 | 2019-03-14 |
| Find all providers with the same taxonomy | ||||
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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.