TAMMY LOUISE WALDON (NPI# 1265066914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265066914 |
| Entity Type | Individual |
| Full Name | TAMMY LOUISE WALDON |
| Practice Address |
10450 Ne Reinking Rd Kansas City MO 64156-1122 |
| Practice Telephone | 8166997241 |
| Mailing Telephone | 8166997241 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 9539 | 01 |
| Street Address |
10450 NE REINKING RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64156-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208332 | Josie Ryan Smith | Technician | 10450 Ne Reinking Rd, Kansas City, MO 64156-1122 | 2020-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598907750 | Julia Theresa Kovac | Counselor | 11923 Ne Sherman Rd, Kansas City, MO 64156-1056 | 2009-04-01 |
| 1558803635 | Virginia Diana Davis | Physical Therapy Assistant | 9100 N Essex Dr, Kansas City, MO 64156-1086 | 2016-11-07 |
| 1831411297 | Sondra Gaynelle Hawk | Licensed Practical Nurse | 4901 Ne Barry Rd, Kansas City, MO 64156-1219 | 2010-02-25 |
| 1740503978 | Northwest Regional Youth Center | Residential Treatment Facility, Emotionally Disturbed Children | 4901 Ne Barry Rd, Kansas City, MO 64156-1219 | 2010-03-02 |
| 1023634599 | Sibree L Vickers | Nurse Practitioner | 3627 Ne 85th St, Kansas City, MO 64156-1309 | 2020-06-22 |
| 1417394164 | Renee Lynn Dupaul | Occupational Therapy Assistant | 9120 N Mersington Ave, Kansas City, MO 64156-3015 | 2013-06-03 |
| 1477872794 | Jennifer Norman | Speech-Language Pathologist | 3000 Ne 108th St, Kansas City, MO 64156-6314 | 2010-05-26 |
| 1114491339 | Sarah Elizabeth Bray | Speech-Language Pathologist | 9043 N Lawn Ave, Kansas City, MO 64156-6327 | 2019-01-22 |
| 1861882268 | Brenda Krier | Physical Therapy Assistant | 8415 N Kensington Ave, Kansas City, MO 64156-7813 | 2015-01-23 |
| 1770194565 | Heart 2 Heart Homes LLC | Counselor | 7001 Ne 116th Ter, Kansas City, MO 64156-7926 | 2020-08-13 |
| Find all providers in zip 64156 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208332 | Josie Ryan Smith | Technician | 10450 Ne Reinking Rd, Kansas City, MO 64156-1122 | 2020-03-02 |
| 1770124240 | Dorothey Mae Smith | Technician | 1223 Nw 57th St, Kansas City, MO 64118-3109 | 2019-10-04 |
| 1104475383 | Margaret A Shetley | Technician | 9023 Nw Anglia Rd, Kansas City, MO 64155 | 2019-09-10 |
| 1700435419 | Rachel Michelle Rearrick | Technician | 13306 E 95th Ter, Kansas City, MO 64138-5002 | 2019-09-05 |
| 1992354732 | Steven Wayne | Technician | 5052 N Euclid Ave, Kansas City, MO 64118-6029 | 2019-09-04 |
| 1972146579 | Laura James | Technician | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2019-10-26 |
| 1609426063 | Tammy King | Technician | 4801 Linwood Blvd, Kansas City, MO 64128 | 2019-09-18 |
| 1003465410 | Donna M Belton | Technician | Va Medical Center, 4801 Linwood Blvd, Kansas City, MO 64128 | 2019-09-09 |
| 1306495734 | Stephanie Jean Hale | Technician | Va Medical Center, 4801 Linwood Blvd, Kansas City, MO 64128 | 2019-09-09 |
| 1144879560 | Connie Knoblauch | Technician | Va Medical Center, 4801 Linnwood Blvd, Kansas City, MO 64128 | 2019-09-09 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64156 |
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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.