Individual provider Active NPI

Erika Wadford, BA

  • Behavior Analyst
  • Huntersville, NC
National Provider Identifier
1649741646
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-46964 Issued in NC
Practice address
14535 Cordial LN Apt 306
Huntersville, NC 28078-3368
Phone
(843) 513-0964
NPI assigned
Dec 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Behavior Technician 106S00000X BACB475185 NC
Behavior Analyst 103K00000X 1-21-46964 NC Primary

Addresses

Primary practice location

14535 Cordial LN Apt 306
Huntersville, NC 28078-3368

Mailing address

14535 Cordial LN Apt 306
Huntersville, NC 28078-3368
Phone (184) 383-0444

Other identifiers 1

IdentifierTypeStateIssuer
NONEMedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL service

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
BACB475185NCMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1649741646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14535 CORDIAL LN APT 306",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783368",
            "telephone_number": "184-383-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14535 CORDIAL LN APT 306",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783368",
            "telephone_number": "843-513-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADFORD",
        "first_name": "ERIKA",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": "BACB475185",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-21-46964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NONE",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "service",
            "affiliation": "N",
            "address_1": "14535 Cordial Ln Apt 306",
            "city": "Huntersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280783368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.