Mary Katherine Wafzig

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3761 Johnson Hall Drive
Masonic Widows and Orphans Home
Louisville, KY 40041

Phone

(502) 293-1695

NPI assigned

Aug 25, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1518845700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HOWARD DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3761 JOHNSON HALL DRIVE",
            "address_2": "MASONIC WIDOWS AND ORPHANS HOME",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40041",
            "telephone_number": "502-293-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAFZIG",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nitin N Wadhwa, M.D.
• Preeti Wadhwa, M.D.
• Esper Wadih
• Jasmine Wadkins, LCSW
• Kim L Wadlington, LCSW
• Sarah Katherine Wagers, M.D.
• Erin Elizabeth Waggoner
• Jessica Nicole Waggoner, PTA
• Blair Kelly Wagner, DNP
• Bradley Mann Wagner, PT, DPT

• Behavior Technician in Louisville, KY
• Providers in Louisville, KY by specialty
• Behavior Technician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.