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SHANETA WADDY
NPI 1316821861
Specialist in Ann Arbor, MI

Active since August 05, 2025
2215 FULLER RD, ANN ARBOR, MI 48105(734) 845-3925 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shaneta Waddy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANETA WADDY (NPI 1316821861) is an individual specialist in Ann Arbor, Michigan and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1316821861
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameSHANETA WADDY
Location Address2215 FULLER RDAnn Arbor, MI 48105-2303
Mailing Address16690 Brandt StRomulus, MI 48174-3215 · (734) 972-8882
Phone(734) 845-3925
Sole ProprietorYes
Enumeration DateAugust 5, 2025
NPPES CertifiedAugust 5, 2025
✔ NPI 1316821861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2215 FULLER RD, Ann Arbor, MI 48105
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CONSTANCE LAROSA RN
Registered Nurse
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100
THOMAS F CURRAN
Anesthesiology
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 845-5342
MRS. NICHELLE BOWMAN RN
Registered Nurse
2215 FULLER RD, RADIATION ONCOLOGY 114B
ANN ARBOR, MI 48105
Washtenaw County (734) 845-3914
MRS. CAREY ANN MICHEL RN
Registered Nurse
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 222-4230
JACQUELYN VANZILE LPCC
Counselor (Mental Health)
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100
CARRIE JO HERNANDEZ RN
Registered Nurse
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 845-5598
ERIC PATTERSON PTA
Physical Therapy Assistant
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 845-3829
MS. AMIE RICHARDSON
Physical Therapy Assistant
2215 FULLER RD
ANN ARBOR, MI 48105
Washtenaw County (734) 769-7100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaneta Waddy's NPI number?

The NPI number for Shaneta Waddy is 1316821861. It was assigned to this individual provider in the NPPES registry on August 5, 2025.

Where is Shaneta Waddy located?

Shaneta Waddy practices at 2215 Fuller Rd, Ann Arbor, MI 48105. The listed phone number is (734) 845-3925.

What is Shaneta Waddy's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Shaneta Waddy was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.