RACQUEL DENISE WADDY (NPI# 1558794438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558794438 |
| Entity Type | Individual |
| Full Name | RACQUEL DENISE WADDY |
| Practice Address |
910 N Jefferson St Jacksonville FL 32209-6810 |
| Practice Telephone | 9043607022 |
| Mailing Telephone | 9043607022 |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2018-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
910 N JEFFERSON ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32209-6810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538129002 | Managed Access To Child Health Inc | Case Management | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2006-03-27 |
| 1205467230 | Isabella M Hower | Occupational Therapist | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2020-01-29 |
| 1053808907 | Franchescka Kephart | Social Worker | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2018-04-17 |
| 1144717083 | Brandie Crawley | Social Worker | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2018-04-17 |
| 1992216055 | Cristina Solimeno | Physical Therapist | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2017-10-17 |
| 1083135248 | Yesenia Ivette Moss | Case Manager/Care Coordinator | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2017-06-28 |
| 1760903983 | John Roberts | Case Manager/Care Coordinator | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2017-06-28 |
| 1124473509 | Rebecca Kickham | Speech-Language Pathologist | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2016-05-04 |
| 1184084576 | Kaitlin Dudziec | Occupational Therapist | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2016-02-29 |
| 1538527999 | Anthony Cogdell | Social Worker | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2016-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506183 | Hayley M Shade | Student in an Organized Health Care Education/Training Program | 655 8th St. W., 4th Floor, Lrc 653-1 West 8th Street, L18, Jacksonville, FL 32209 | 2020-04-15 |
| 1407484629 | Micah Christine Turpeau | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2020-04-01 |
| 1730716366 | Nikki Javia | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Fl 4, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1336776061 | Samuel Kamoroff | Student in an Organized Health Care Education/Training Program | 653-1 West 8th Street, 4th Floor, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1376194092 | Donald Wayne Johnson Jr. | Pharmacist | Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 | 2019-09-24 |
| 1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
| 1295296499 | Christian King | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2019-03-29 |
| 1013478403 | David William Barton | Orthopaedic Surgery | 655 W 8th St, Box C-126, Jacksonville, FL 32209 | 2019-03-27 |
| 1912497108 | Lisa Jordan | Adult Companion | 1515 W 31st St, Jacksonville, FL 32209 | 2018-05-14 |
| 1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
| Find all providers in zip 32209 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256014 | Jessica Marie Hazelip | Case Manager/Care Coordinator | 2126 N 1st St, Jacksonville, AR 72076-2870 | 2020-08-24 |
| 1235757493 | Terena D Hoover | Case Manager/Care Coordinator | 731 Duval Station Rd Ste 107-257, Jacksonville, FL 32218-0800 | 2020-07-13 |
| 1255955514 | Shan Lowry | Case Manager/Care Coordinator | 1007 Tortoise Way, Jacksonville, FL 32218-7635 | 2020-06-02 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1780228510 | Equeisha Jones | Case Manager/Care Coordinator | 1006 N Liberty St, Jacksonville, FL 32206-5631 | 2019-11-05 |
| 1447801865 | Sydney Broussard | Case Manager/Care Coordinator | 3544 Saint Johns Bluff Rd S Apt 922, Jacksonville, FL 32224-2674 | 2019-09-26 |
| 1558928291 | Sherri Mason | Case Manager/Care Coordinator | 8005 Renault Dr, Jacksonville, FL 32244-1325 | 2019-05-28 |
| 1760951438 | Tashera Muray Nielsen | Case Manager/Care Coordinator | 7925 Merrill Rd Apt 2809, Jacksonville, FL 32277-6544 | 2018-11-24 |
| 1588147110 | Patricia Ceasar Pitts | Case Manager/Care Coordinator | 13764 Chipperfield Ln, Jacksonville, FL 32226-5832 | 2018-09-10 |
| 1447738307 | Pamela R Wright | Case Manager/Care Coordinator | 10955 Sterling Silver Ct, Jacksonville, FL 32218-7342 | 2018-08-02 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32209 |
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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.