Individual provider Active NPI

Siobhan C Way, MA, LADC, ADCR-MN

  • Student in an Organized Health Care Education/Training Program
  • Atlanta, GA
National Provider Identifier
1750221552
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
788 Greenwood Ave NE Apt 3
Atlanta, GA 30306-3749
Phone
(651) 292-2467
Fax
(651) 227-1599
NPI assigned
Mar 31, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MN Primary

Addresses

Primary practice location

788 Greenwood Ave NE Apt 3
Atlanta, GA 30306-3749

Mailing address

788 Greenwood Ave NE Apt 3
Atlanta, GA 30306-3749
Phone (651) 292-2467

Other practice location 1

680 Stewart Ave
Saint Paul, MN 55102-4199
Phone (651) 292-2480

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
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1774915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1750221552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 GREENWOOD AVE NE APT 3",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063749",
            "telephone_number": "651-292-2467",
            "fax_number": "651-227-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 GREENWOOD AVE NE APT 3",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063749",
            "telephone_number": "651-292-2467",
            "fax_number": "651-227-1599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 Stewart Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551024199",
            "country_code": "US",
            "telephone_number": "651-292-2480",
            "fax_number": "651-292-2480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAY",
        "first_name": "SIOBHAN",
        "middle_name": "C",
        "credential": "MA, LADC, ADCR-MN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.