Active NPI
Inez Davis Waddell, R.D.H.
- Dental Hygienist
- Nashville, TN
National Provider Identifier
1932136454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 4410
- Practice address
- Dept of Veteran Affairs, Dental Service 160
1310 24TH Ave. So.
Nashville, TN 37212 - Phone
- (615) 327-5321
- NPI assigned
- Jun 28, 2006
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 4410 | TN | Primary |
Addresses
Primary practice location
Dept of Veteran Affairs, Dental Service 160
1310 24TH Ave. So.
Nashville, TN 37212
Mailing address
3112 Windsor Green Dr
Antioch, TN 37013-1042
Phone (615) 399-5240
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 |
|---|---|---|---|
| 4410 | TN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932136454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3112 WINDSOR GREEN DR",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "370131042",
"telephone_number": "615-399-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPT OF VETERAN AFFAIRS, DENTAL SERVICE 160",
"address_2": "1310 24TH AVE. SO.",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37212",
"telephone_number": "615-327-5321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADDELL",
"first_name": "INEZ",
"middle_name": "DAVIS",
"name_prefix": "Mrs.",
"credential": "R.D.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TN",
"license": "4410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.