Active NPI
Jennifer Dawn Waid, OTR/L
- Pediatric Occupational Therapist
- Charlotte, NC
National Provider Identifier
1508092453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 2748
- Practice address
- 8045 Providence Rd
Suite 200
Charlotte, NC 28277-8745 - Phone
- (704) 540-5252
- Fax
- (704) 540-5755
- NPI assigned
- Jun 5, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 2748 | NC | Primary |
Addresses
Primary practice location
8045 Providence Rd
Suite 200
Charlotte, NC 28277-8745
Mailing address
8045 Providence Rd
Suite 200
Charlotte, NC 28277-8745
Phone (704) 540-5252
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2748 | NC | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244160000000",
"number": "1508092453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8045 PROVIDENCE RD",
"address_2": "SUITE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282778745",
"telephone_number": "704-540-5252",
"fax_number": "704-540-5755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8045 PROVIDENCE RD",
"address_2": "SUITE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282778745",
"telephone_number": "704-540-5252",
"fax_number": "704-540-5755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAID",
"first_name": "JENNIFER",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-05",
"last_updated": "2009-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NC",
"license": "2748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.