Bethany Waddey

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30004900 Issued in NC

Practice address

6845 Knightdale Blvd Ste 102
Knightdale, NC 27545-9800

Phone

(919) 577-6807

NPI assigned

Jun 11, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Capitol City Speech Therapy, LLC

  • Speech-Language Pathologist
  • Fuquay Varina, NC
  • NPI 1689755241
  NPD (past)

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1972498780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 SEDGEFIELD PINES LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276044505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 KNIGHTDALE BLVD STE 102",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275459800",
            "telephone_number": "919-577-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDEY",
        "first_name": "BETHANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-11",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30004900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VCP Raleigh, LLC
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• Victorious Healthcare Inc
• Village Rehabilitation and Consulting Clinic, LLC
• Vital Health Services, LLC
• Wake Counseling Associates, PLLC
• Wake Forest Pediatric Associates, PLLC
• Wake Heart and Vascular Associates PA
• Wake Renewal Counseling, PLLC
• Wake Specialty Physicians LLC

• Speech-Language Pathologist in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.