Kandace Wadlington

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4050 E Greenway Rd Ste 4
Phoenix, AZ 85032-4700

Phone

(623) 900-7598

NPI assigned

Nov 27, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Karing Heart LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1336852813
  NPD Authorized official
• Shining New Light LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1558015115
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637971200000",
    "number": "1003573916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 E GREENWAY RD STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324700",
            "telephone_number": "623-900-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 E GREENWAY RD STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324700",
            "telephone_number": "623-900-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADLINGTON",
        "first_name": "KANDACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-27",
        "last_updated": "2021-11-27",
        "certification_date": "2021-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwadlington@shiningnewlight.com",
            "affiliation": "N",
            "endpointDescription": "Family Counseling Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4050 E Greenway Rd Ste 4",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850324700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwadlington@shiningnewlight.com",
            "affiliation": "N",
            "endpointDescription": "Family Counseling Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4050 E Greenway Rd Ste 4",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850324700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Suzanne Wade, MD
• Sheetal Wadera, M.D.
• Chelsea Wadiak
• Meleika A Wadley, LCSW
• Amy Christine Wadlington, LMSW
• Katrina Wadowski, MD
• Dedra A. Wadsworth, FNP
• Zachary Mark Wadsworth, MD
• Jessica Waechter, CCC-SLP
• Bonny Wager Tabah, RD

• Behavior Technician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Behavior Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.