JORDAN WADDELL (NPI# 1154795771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154795771 |
| Entity Type | Individual |
| Full Name | JORDAN WADDELL |
| Credential | CTRS |
| Practice Address |
4030 Wake Forest Rd Ste 349 Raleigh NC 27609-6800 |
| Mailing Address |
500 Fairway Dr Ste 102 Deerfield Beach FL 33441-1817 |
| Practice Telephone | 9546037885 |
| Mailing Telephone | 8888809270 |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4030 WAKE FOREST RD STE 349 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-6800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518931666 | Carolina Spine Specialists Pa | Physical Medicine & Rehabilitation | 4030 Wake Forest Rd, Suite 102, Raleigh, NC 27609 | 2006-02-15 |
| 1558817155 | Total Motion Pt, LLC | Physical Therapist | 4030 Wake Forest Rd, Suite 211, Raleigh, NC 27609-0010 | 2016-09-01 |
| 1386004406 | Bianca Renee Hodge | Developmental Therapist | 4030 Wake Forest Rd, Ste 349, Raleigh, NC 27609-6800 | 2016-03-02 |
| 1932568714 | Crystal Johnson | Developmental Therapist | 4030 Wake Forest Rd, Suite 349, Raleigh, NC 27609-6800 | 2016-02-22 |
| 1720447592 | Aaron Kevin Swain | Developmental Therapist | 4030 Wake Forest Rd, Ste 349, Raleigh, NC 27609-6800 | 2016-02-22 |
| 1336508498 | Lachea Davis | Developmental Therapist | 4030 Wake Forest Rd, Ste 349, Raleigh, NC 27609-6800 | 2016-02-17 |
| 1134587207 | Latoya Dianne Thomas | Developmental Therapist | 4030 Wake Forest Rd, Suite 34, Raleigh, NC 27609-6800 | 2016-02-04 |
| 1922464049 | Jessica Saxton | Developmental Therapist | 4030 Wake Forest Rd, Ste 349, Raleigh, NC 27609-6800 | 2016-01-05 |
| 1790150357 | Helene Singla | Developmental Therapist | 4030 Wake Forest Rd, Ste 349, Raleigh, NC 27609-6800 | 2015-12-08 |
| 1578937082 | Tamara Mombille | Behavioral Analyst | 4030 Wake Forest Rd, Ste 349, Raleigh, NC 27609-6800 | 2015-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922585918 | Sherri Lambeth | Developmental Therapist | 5716 Heatherstone Dr, Raleigh, NC 27606-9342 | 2018-07-23 |
| 1245731207 | Taylor Lee Decesare | Developmental Therapist | 908 Lendermans Cir, Raleigh, NC 27603-7802 | 2018-02-26 |
| 1922514033 | Sara Curran Feole | Developmental Therapist | 231 Calibre Chase Dr Apt 304, Raleigh, NC 27609-7757 | 2017-12-27 |
| 1871003434 | Pamela Ashley Carlton | Developmental Therapist | 7610 Sunfield Cir Apt 303, Raleigh, NC 27617-8788 | 2017-10-09 |
| 1871041285 | Erica Etienne | Developmental Therapist | 421 Fayetteville Street, Suite 1100, Raleigh, NC 33441 | 2016-09-14 |
| 1205281631 | Kayla Christian Hart | Developmental Therapist | 421 Fayetteville Street, Suite 1100, Raleigh, NC 27601 | 2016-05-04 |
| 1902267818 | Temika Shea Rowell | Developmental Therapist | 421 Fayetteville St, Raleigh, NC 27601-1792 | 2016-03-19 |
| 1528428752 | Elizabeth Stiles | Developmental Therapist | 4030 Wake Forest Road, Suite 349, Raleigh, NC 27609-6800 | 2016-03-01 |
| 1689041097 | Jomall Cummings | Developmental Therapist | 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-6800 | 2015-09-01 |
| 1043694037 | Beginning Steps Therapy Solutions | Developmental Therapist | 7611 Breezy Point Ln, Apt. 205, Raleigh, NC 27617-6792 | 2015-07-20 |
| Find all providers in RALEIGH | ||||
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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.