Active NPI
Stephanie Ann Waldo
- Other Technician
- Fort Hood, TX
National Provider Identifier
1699448670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 11930
- Practice address
- 84304 Mesquite TRL # 2
Fort Hood, TX 76544-1853 - Phone
- (141) 446-0598
- NPI assigned
- Jul 27, 2021
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 11930 | TX | Primary |
Addresses
Primary practice location
84304 Mesquite TRL # 2
Fort Hood, TX 76544-1853
Mailing address
84304 Mesquite TRL # 2
Fort Hood, TX 76544-1853
Phone (141) 446-0598
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 |
|---|---|---|---|
| 11930 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1699448670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84304 MESQUITE TRL # 2",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "765441853",
"telephone_number": "141-446-0598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84304 MESQUITE TRL # 2",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "765441853",
"telephone_number": "141-446-0598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDO",
"first_name": "STEPHANIE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-27",
"last_updated": "2021-07-27",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "TX",
"license": "11930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Hood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.