Active NPI
Heather Kay Wadeson, PH.D.
- Health Psychologist
- Joplin, MO
National Provider Identifier
1649623562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Psychologist
- Practice address
- 530 E 34TH St
Joplin, MO 64804-3926 - Phone
- (417) 347-7608
- NPI assigned
- Jul 15, 2016
- 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 |
|---|---|---|---|---|
| Health Psychologist | 103TH0004X | Primary |
Addresses
Primary practice location
530 E 34TH St
Joplin, MO 64804-3926
Mailing address
530 E 34TH St
Joplin, MO 64804-3926
Phone (417) 347-7608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468540800000",
"number": "1649623562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 E 34TH ST",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648043926",
"telephone_number": "417-347-7608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 E 34TH ST",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648043926",
"telephone_number": "417-347-7608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADESON",
"first_name": "HEATHER",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-15",
"last_updated": "2016-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
- Alexander Miles Joseph Vraspir, DO
- W. John Nicholas, MD, PC
- Charles Addison Waddell
- Rheana L Wade-Macios
- Dawn Wade, APRN, PMHNP-BC
- Gloria Lauren Waggoner, MD
- Teresa Christina Waggoner, COTA/L
- William M Waggoner
- Wal-Mart Stores East LP (Walmart Pharmacy 10-4478)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0079)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.