MRS. SHAUNDA LYN WADDLE CSFA
NPI 1366101784
Physician Assistant - Surgical in Cheyenne, WY

Active since December 13, 2021
5001 OPAL DR, CHEYENNE, WY 82009(307) 214-6537 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2022, Dec 13, 2021 (2 updates tracked since 2021).

About Mrs. Shaunda Lyn Waddle Csfa NPPES

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

MRS. SHAUNDA LYN WADDLE CSFA (NPI 1366101784) is an individual surgical provider in Cheyenne, Wyoming and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1366101784
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. SHAUNDA LYN WADDLECredential: CSFA
Location Address5001 OPAL DRCheyenne, WY 82009-5693
Mailing Address5001 Opal DrCheyenne, WY 82009-5693 · (307) 214-6537
Sole ProprietorYes
Enumeration DateDecember 13, 2021
Last NPPES UpdateJanuary 6, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2022
NPI 1366101784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X · License 206758 (WY)
5001 OPAL DR, Cheyenne, WY 82009

Other Names 1

Former Name (1)Miss Shaunda Lyn Lamphere Csfa

Accepted Insurance

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 Shaunda Waddle's NPI number?

The NPI number for Shaunda Waddle is 1366101784. It was assigned to this individual provider in the NPPES registry on December 13, 2021. The provider is also known as Miss Shaunda Lyn Lamphere Csfa.

Where is Shaunda Waddle located?

Shaunda Waddle practices at 5001 Opal Dr, Cheyenne, WY 82009. The listed phone number is (307) 214-6537.

What is Shaunda Waddle's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

What insurance does Shaunda Waddle accept?

Health plans from Blue Cross Blue Shield of Wyoming list Shaunda Waddle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shaunda Waddle was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.