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CHARLES ADDISON WADDELL
NPI 1962388900
Student in an Organized Health Care Education/Training Program in Joplin, MO

Active since August 14, 2025
301 ST JOHNS BLVD, JOPLIN, MO 64804(417) 208-0805 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Addison Waddell NPPES

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

CHARLES ADDISON WADDELL (NPI 1962388900) is an individual student in an organized health care education/training program in Joplin, Missouri and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1962388900
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHARLES ADDISON WADDELL
Location Address301 ST JOHNS BLVDJoplin, MO 64804
Mailing Address301 St Johns BlvdJoplin, MO 64804
Phone(417) 208-0805
Sole ProprietorYes
Enumeration DateAugust 14, 2025
NPPES CertifiedAugust 12, 2025
✔ NPI 1962388900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
301 ST JOHNS BLVD, Joplin, MO 64804
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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 Charles Waddell's NPI number?

The NPI number for Charles Waddell is 1962388900. It was assigned to this individual provider in the NPPES registry on August 14, 2025.

Where is Charles Waddell located?

Charles Waddell practices at 301 St Johns Blvd, Joplin, MO 64804. The listed phone number is (417) 208-0805.

What is Charles Waddell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Charles Waddell was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.