Active NPI
Sonya Waddell
- Custodial Care Facility
- Rural Hall, NC
National Provider Identifier
1821598335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- Practice address
- 6025 Dustin Ridge CT
Rural Hall, NC 27045-9011 - Phone
- (336) 473-4430
- NPI assigned
- Feb 21, 2018
- Last updated
- Feb 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | NC | Primary |
Addresses
Primary practice location
6025 Dustin Ridge CT
Rural Hall, NC 27045-9011
Mailing address
6025 Dustin Ridge CT
Rural Hall, NC 27045-9011
Phone (336) 473-4430
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519171200000",
"number": "1821598335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6025 DUSTIN RIDGE CT",
"city": "RURAL HALL",
"state": "NC",
"postal_code": "270459011",
"telephone_number": "336-473-4430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6025 DUSTIN RIDGE CT",
"city": "RURAL HALL",
"state": "NC",
"postal_code": "270459011",
"telephone_number": "336-473-4430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADDELL",
"first_name": "SONYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-21",
"last_updated": "2018-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rural Hall, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.