Waddell Family Care PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WADDELL FAMILY CARE PLLC

Doing business as

Waddell Family Care

Practice address

13755 N Litchfield Rd Ste 105
Surprise, AZ 85379-4288

Phone

(623) 512-8308

Fax

(949) 437-2917

NPI assigned

Feb 7, 2022

Organization subpart

No

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

Authorized official

Name

Kandy Lizzeth Medina Perez, FNP-CNPI 1972186138

Title

Owner/Provider

Phone

(623) 512-8308

Specialties & licenses 1

Addresses

Other names 1

• Waddell Family Care Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kandy Lizzeth Medina Perez, FNP-C

  • Family Nurse Practitioner
  • Surprise, AZ
  • NPI 1972186138
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1144974395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7908 N COTTON LN",
            "city": "WADDELL",
            "state": "AZ",
            "postal_code": "853559751",
            "telephone_number": "623-512-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13755 N LITCHFIELD RD STE 105",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853794288",
            "telephone_number": "623-512-8308",
            "fax_number": "949-437-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADDELL FAMILY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "MEDINA PEREZ",
        "authorized_official_first_name": "KANDY",
        "authorized_official_middle_name": "LIZZETH",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "623-512-8308",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waddell Family Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Waddell Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sonia J Voyles, LPC
• Biljana Vranes, RDH
• Le H. Vu, M.D.
• Mi Vu
• Wabash Medical Associates PC (Sun City West Internal Medicine Associates)
• Waddell Medical Center LLC
• Gary Lee Waddington, MD
• Sherry Wagoner
• McKayla Marie Wahlquist
• Kaila Briann Wainwright

• Primary Care Clinic/Center in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.