Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tyanna Waddell

Individual provider Speech-Language Pathologist · NPI 1548899776

Tyanna Waddell is a Qualified Speech Language Pathologist in Raleigh, North Carolina. Qualified in 2019, 7 years ago. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2020
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Practice location Address checks out

2722 Hidden Waters Cir
Raleigh, NC 27614-8520
Phone: (919) 465-4424
Fax: (919) 465-4427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2004012 (NC)

Record details

NPI number1548899776
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2020
Last updated in NPPESApril 8, 2020
Certification dateApril 8, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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