JACOB AARON MICHAEL WADDLE NPI 1114895513

NPI Information

  • NPI: 1114895513
  • Provider Name: JACOB AARON MICHAEL WADDLE
  • Classification: Case Manager/Care Coordinator - 171M00000X
  • Entity Type: Individual
  • Address: 3634 GLENN LAKES LN
    MISSOURI CITY, TX
    ZIP 77459
  • Phone: (254) 715-9101

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NPI Details

Jacob Aaron Michael Waddle is a case manager care coordinator in Missouri City, TX. The provider is a person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. Jacob Aaron Michael Waddle NPI is 1114895513. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3634 GLENN LAKES LN
MISSOURI CITY, TX
ZIP 77459-062
Phone: (254) 715-9101

The enumeration date for this NPI number is 10/27/2025 and was last updated on 10/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care CoordinatorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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