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TYANNA WADDELL
NPI 1548899776
Speech-Language Pathologist in Raleigh, NC

Active since April 08, 2020
2722 HIDDEN WATERS CIR, RALEIGH, NC 27614(919) 465-4424(919) 465-4427 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tyanna Waddell NPPES

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

TYANNA WADDELL (NPI 1548899776) is an individual speech-language pathologist provider in Raleigh, North Carolina, licensed in North Carolina (2004012) and active in the NPI registry since April 2020. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1548899776
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameTYANNA WADDELL
Location Address2722 HIDDEN WATERS CIRRaleigh, NC 27614-8520
Mailing Address2722 Hidden Waters CirRaleigh, NC 27614-8520 · (919) 465-4424 · Fax (919) 465-4427
Phone(919) 465-4424
Fax(919) 465-4427
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 8, 2020
NPPES CertifiedApril 8, 2020
✔ NPI 1548899776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NC · 2004012
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
2722 HIDDEN WATERS CIR, Raleigh, NC 27614
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyanna Waddell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446738256
PECOS Enrollment IDI20260203001053

Medicare Billing Reassignment

Medicare enrollment records show Tyanna Waddell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Expressable Therapy PC
1,172 mi
Speech-Language Pathologist
7600 CHEVY CHASE DR, BLDG 2 SUITE 300
Austin, TX 78752
  • Reassigned Medicare billing, Georgia enrollment
  • 93 clinicians in this Medicare group
NPI 1134875370 (512) 377-6318

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

MRS. ASHLEY MACPHERSON M.S CF-SLP
Speech-Language Pathologist
2722 HIDDEN WATERS CIR
RALEIGH, NC 27614
Wake County (919) 465-4424
BRITTANY AMANDA FRASIER MS, CF-SLP
Speech-Language Pathologist
2722 HIDDEN WATERS CIR
RALEIGH, NC 27614
Wake County (919) 465-4424
MS. MARIAN NELL EASLER MSP, CCC-SLP
Speech-Language Pathologist
2722 HIDDEN WATERS CIR
RALEIGH, NC 27614
Wake County (919) 465-4424
REBECCA LYNN SUKHU MS, CF-SLP
Speech-Language Pathologist
2722 HIDDEN WATERS CIR
RALEIGH, NC 27614
Wake County (919) 465-4424
SIDNEY MCELROY
Speech-Language Pathologist
2722 HIDDEN WATERS CIR
RALEIGH, NC 27614
Wake County (919) 465-4424

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 Tyanna Waddell's NPI number?

The NPI number for Tyanna Waddell is 1548899776. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Tyanna Waddell located?

Tyanna Waddell practices at 2722 Hidden Waters Cir, Raleigh, NC 27614. The listed phone number is (919) 465-4424.

What is Tyanna Waddell's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Tyanna Waddell enrolled in Medicare?

Yes. Tyanna Waddell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tyanna Waddell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyanna Waddell reassigns Medicare benefits to Expressable Therapy PC (Austin, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyanna Waddell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyanna Waddell accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Tyanna Waddell 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 Tyanna Waddell was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.