Individual provider Active NPI

Pat Wabashaw

  • Peer Specialist
  • Sioux City, IA
National Provider Identifier
1033078175
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
1309 Pierce St
Sioux City, IA 51105-1422
Phone
(712) 560-7336
NPI assigned
Jan 15, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Primary

Addresses

Primary practice location

1309 Pierce St
Sioux City, IA 51105-1422

Mailing address

1309 Pierce St
Sioux City, IA 51105-1422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Copperstone Development Peer Specialist Current Accepting new patients
Copperstone Development CurrentSince Jun 9, 2024 Accepting new patients

Locations

1309 Pierce St
Sioux City, IA 51105
Phone (267) 800-9099

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1033078175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051422",
            "telephone_number": "712-560-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WABASHAW",
        "first_name": "PAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.