Dr. Wadeson, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DR. WADESON, LLC

Practice address

5133 S Campbell Ave Ste 204
Springfield, MO 65810-2437

Phone

(417) 319-6076

NPI assigned

Aug 16, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Heather Kay Wadeson, PH.D.

Title

Licensed Clinical Psychologist

Phone

(701) 541-6400

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1972159770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 N SEABROOK DR",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "65714",
            "telephone_number": "701-541-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5133 S CAMPBELL AVE STE 204",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102437",
            "telephone_number": "417-319-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WADESON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "WADESON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "701-541-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5133 S Campbell Ave Ste 204",
            "city": "Springfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "658102437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zachary Downs
• Suzan K Doyle-Roeder, MS, BCBA, LBA
• Dr Gils Immediate Care
• Dr Kisha Hamilton LLC
• Dr. Frank a. Sharp, DDS, Ms, PC
• Louis M. Drackert IV, D.D.S.
• Ysabelle Drage, OTR/L
• Barbra Ann Drake, FNP
• Pamela Deneice Drake, APRN, BC-ADM, CDE
• Brian B Draper, D.O.

• Community/Behavioral Health Agency in Springfield, MO
• Providers in Springfield, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.