Michael P Waddington, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

821598 Issued in NY

Practice address

92 Brigham Rd
Fredonia, NY 14063-1006

Phone

(716) 708-5460

NPI assigned

Aug 17, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1205502705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 BRIGHAM RD",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631006",
            "telephone_number": "716-708-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 BRIGHAM RD",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631006",
            "telephone_number": "716-708-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDINGTON",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "821598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jolmstead@niagara.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "92 Brigham Rd",
            "city": "Fredonia",
            "state": "NY",
            "country_code": "US",
            "postal_code": "140631006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Randall Vincek, PT, OCS
• Mary Sue Vogel, SPECIAL EDUCATION TE
• Gregory John Voltmann, LMSW
• Kayla E Voss, FNP
• Suzzane Patricia Voss, CCC-SLP-L
• Christine Wagner, LMHC
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Stacey Marie Wallace
• Kristy Anne Wasik, LMSW

• Registered Nurse in Fredonia, NY
• Providers in Fredonia, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.