LATRICE WADDELL (NPI# 1316375124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316375124 |
| Entity Type | Individual |
| Full Name | LATRICE WADDELL |
| Credential | MSN, PMHCNS |
| Practice Address |
1425 Starr Ave Toledo OH 43605-2456 |
| Practice Telephone | 4196930631 |
| Practice Fax Number | 4199367606 |
| Mailing Telephone | 4196930631 |
| Mailing Fax Number | 4199367606 |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2013-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
COA15185NS | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1425 STARR AVE |
| City | TOLEDO |
| State | OH |
| Zip Code | 43605-2456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497741623 | Usha Ashok Salvi | Psychiatry & Neurology | 1425 Starr Ave, Toledo, OH 43605-2456 | 2005-09-22 |
| 1578162095 | Darcy A Rose | Registered Nurse | 1425 Starr Ave, Toledo, OH 43605-2456 | 2020-10-26 |
| 1366055386 | Julia Manolukas | Counselor | 1425 Starr Ave, Toledo, OH 43605-2456 | 2020-08-28 |
| 1639782667 | Susan Hagemeyer | Student in an Organized Health Care Education/Training Program | 1425 Starr Ave, Toledo, OH 43605-2456 | 2020-08-28 |
| 1467065409 | Nicole Jeffries | Student in an Organized Health Care Education/Training Program | 1425 Starr Ave, Toledo, OH 43605-2456 | 2020-08-28 |
| 1417560749 | Hope Strobel | Student in an Organized Health Care Education/Training Program | 1425 Starr Ave, Toledo, OH 43605-2456 | 2020-08-26 |
| 1467064527 | Claudia Chavez | Social Worker | 1425 Starr Ave, Toledo, OH 43605-2456 | 2020-08-20 |
| 1275145336 | April Hites | Student in an Organized Health Care Education/Training Program | 1425 Starr Ave, Toledo, OH 43605-2456 | 2020-08-20 |
| 1205465416 | Victoria Callahan | Student in an Organized Health Care Education/Training Program | 1425 Starr Ave, Toledo, OH 43605-2456 | 2020-04-08 |
| 1093344228 | Bryce Davis | Student in an Organized Health Care Education/Training Program | 1425 Starr Ave, Toledo, OH 43605-2456 | 2020-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154860351 | Mark Nordstrom | Day Training, Developmentally Disabled Services | 361 Valleywood Dr, Toledo, OH 43605 | 2017-02-21 |
| 1073062758 | Michele Bryant | Counselor | 911 Mason Street #2, Toledo, OH 43605 | 2016-09-23 |
| 1962894964 | Michael Dickinson | Technician | 2115 Genesse, Toledo, OH 43605 | 2015-02-27 |
| 1851419030 | Daniel Monroe Saunders | Dentist | 808 East Broadway, Toledo, OH 43605 | 2007-03-27 |
| 1053326082 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 925 Woodville Rd, Toledo, OH 43605 | 2006-07-29 |
| 1679070775 | Cynda Tucker-coates | Social Worker | 624 Main St, Toledo, OH 43605 | 2018-04-06 |
| 1750699294 | Neighborhood Health Association | Health Maintenance Organization | 117 Main Street, Toledo, OH 43605 | 2010-09-17 |
| 1346310687 | Lori Sue Gozdowski | Clinical Nurse Specialist | 1425 Starr Ave., Toledo, OH 43605-1000 | 2006-11-08 |
| 1538614995 | Marquetta K Bush | Home Health | 2017 Bakewell St, Toledo, OH 43605-1203 | 2016-08-16 |
| 1316494974 | Marquetta Allison | Nurse's Aide | 2017 Bakewell St, Toledo, OH 43605-1203 | 2016-09-01 |
| Find all providers in zip 43605 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346310687 | Lori Sue Gozdowski | Clinical Nurse Specialist | 1425 Starr Ave., Toledo, OH 43605-1000 | 2006-11-08 |
| 1922321272 | Susan Renee Thomas | Clinical Nurse Specialist | 1425 Starr Ave, Toledo, OH 43605-2456 | 2010-03-01 |
| 1033345251 | David Bryan Bingham | Clinical Nurse Specialist | 3125 Transverse Dr, Toledo, OH 43614-8008 | 2009-06-02 |
| 1750505962 | Deborah A. Morgal | Clinical Nurse Specialist | 3130 Executive Pkwy, 8th Floor, Toledo, OH 43606-1309 | 2007-04-12 |
| 1598741829 | Joan Van Der Bijl | Clinical Nurse Specialist | 1425 Starr Ave, Toledo, OH 43605-2456 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528408788 | Teri Ann Lieser | Clinical Nurse Specialist | 4974 Higbee Ave Nw Ste 209, Canton, OH 44718-2562 | 2013-07-02 |
| 1396996682 | Phyllis Jean Goldbach | Clinical Nurse Specialist | 401 Bounty Way Apt 209, Avon Lake, OH 44012-2479 | 2008-10-04 |
| 1467602276 | Christopher John Heather | Clinical Nurse Specialist | 975-a Kingsview Dr., Lebanon, OH 45036 | 2008-09-29 |
| 1417134313 | Donna R Laughlin | Clinical Nurse Specialist | 63 Baker Blvd., Akron, OH 44333-3601 | 2008-01-23 |
| 1740476548 | Grace Anastasia Herwig | Clinical Nurse Specialist | 26027 Cobblestone Way, Westlake, OH 44145-2459 | 2007-09-15 |
| 1992854756 | Angela Chesser | Clinical Nurse Specialist | 1670 Upham Dr., Columbus, OH 43210-1250 | 2007-01-10 |
| 1962580563 | Ellen Doreen Alaimo | Clinical Nurse Specialist | 3167 Fulton Rd, 105, Cleveland, OH 44109-1465 | 2006-11-01 |
| 1619058294 | Caryl A. Eyre | Clinical Nurse Specialist | 2612 Guilford Rd, Cleveland Heights, OH 44118-4108 | 2006-10-18 |
| 1033225404 | Susan Elizabeth Phillips | Clinical Nurse Specialist | 1260 Monroe Avenue, Suite 15h, New Philadelphia, OH 44663 | 2006-08-21 |
| 1770502288 | Roy P Walton | Clinical Nurse Specialist | 1301 Bellefontaine Ave, Lima, OH 45804-3121 | 2006-07-18 |
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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.