EMANUEL MONTEZ WADDELL NPI 1760835342

NPI Information

  • NPI: 1760835342
  • Provider Name: EMANUEL MONTEZ WADDELL
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 109 RAILROAD AVE
    WAKEFIELD, VA
    ZIP 23888
  • Phone: (757) 312-8730

Map and Directions

Get Directions

NPI Details

Emanuel Montez Waddell is a family nurse practitioner in Wakefield, VA with 8 years of experience. Emanuel Montez Waddell NPI is 1760835342. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduation Year:2018

The provider's business location address is:

109 RAILROAD AVE
WAKEFIELD, VA
ZIP 23888-097
Phone: (757) 312-8730
Fax: (757) 510-9326

The NPI 1760835342 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2016 and was last updated on 5/22/2025.

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
1163W00000XRegistered Nurse790297TEXASNo
2363LF0000XNurse PractitionerFamilyAP138266TEXASNo
3363LF0000XNurse PractitionerFamily0024191239VIRGINIAYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI