STACEY ALETHEA WAGGONER (NPI# 1285008227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285008227 |
| Entity Type | Individual |
| Full Name | STACEY ALETHEA WAGGONER |
| Other Name | STACEY ALETHEA WAGGONER |
| Credential | APRN-CNP |
| Practice Address |
6613 N Meridian Ave Oklahoma City OK 73116-1423 |
| Practice Telephone | 4056038450 |
| Mailing Telephone | 4056038450 |
| Mailing Fax Number | 4056038454 |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2019-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 0083425 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
83425 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200626780A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174146732 | Stacey Waggoner | Emergency Medical Technician, Intermediate | 4 Valley Stream Ln, Newnan, GA 30263-2912 | 2020-05-18 |
| Street Address |
6613 N MERIDIAN AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73116-1423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689943 | Angela K Smith | Physician Assistant | 6613 N Meridian Ave, Oklahoma City, OK 73116-1423 | 2005-06-15 |
| 1558830968 | Lindi Caylin Ciglar | Nurse Practitioner | 6613 N Meridian Ave, Oklahoma City, OK 73116-1423 | 2018-11-14 |
| 1194130336 | Vallie Jo Copley | Clinical Nurse Specialist | 6613 N Meridian Ave, Oklahoma City, OK 73116-1423 | 2014-06-26 |
| 1528361110 | Austin Felice | Counselor | 6613 N Meridian Ave, Oklahoma City, OK 73116-1423 | 2010-12-21 |
| 1568762946 | Elisabeth Thompson | Marriage & Family Therapist | 6613 N Meridian Ave, Oklahoma City, OK 73116-1423 | 2010-11-01 |
| 1104087113 | Cindy Lynette Barnhill | Clinical Nurse Specialist | 6613 N Meridian Ave, Oklahoma City, OK 73116-1423 | 2008-06-23 |
| 1235330523 | Farhan Jawed | Psychiatry & Neurology | 6613 N Meridian Ave, Oklahoma City, OK 73116-1423 | 2007-05-31 |
| 1396965091 | Martha Jones | Nurse Practitioner | 6613 N Meridian Ave, Oklahoma City, OK 73116-1423 | 2007-04-26 |
| 1407930217 | Sally Varghese | Psychiatry & Neurology | 6613 N Meridian Ave, Oklahoma City, OK 73116-1423 | 2006-10-25 |
| 1386749976 | William T Shahan | Social Worker | 6613 N Meridian Ave, Oklahoma City, OK 73116-1423 | 2006-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1861058877 | Dental Depot of 63rd & Nw Expressway, Pllc | Clinic/Center | 4025 Nw 63rd Street, Oklahoma City, OK 73116 | 2019-05-15 |
| 1073001756 | Oklahoma Clinical Management LLC | Prevention Professional | 4301 Nw 63rd St Ste 107, Oklahoma City, OK 73116 | 2018-04-27 |
| 1235658261 | Heinen Physical Therapy, PC | Clinic/Center | 7710 N May Ave, Oklahoma City, OK 73116 | 2017-09-11 |
| 1235657842 | Jacque S Komers | Counselor | 6501 N Broadway Ext Suite 180, Oklahoma City, OK 73116 | 2017-09-04 |
| 1164943874 | Jo Ann Cole-johnson | Counselor | 6505 N. Shawnee Ave, Oklahoma, OK 73116 | 2017-07-03 |
| 1548790793 | Zachary Wayne Skates | Case Manager/Care Coordinator | North 6501 Broadway Extention Highway #180, Oklahoma City, OK 73116 | 2017-06-19 |
| 1548622673 | Jessica Defiore | Case Manager/Care Coordinator | 6501 N Broadway Extension, Oklahoma City, OK 73116 | 2016-03-28 |
| 1093173247 | Patrice Ann Cook | Specialist/Technologist, Other | 7700 N. Hudson Ave, Suite Number 9, Oklahoma City, OK 73116 | 2016-02-03 |
| 1467880708 | Abrina Marie Kneeland | Occupational Therapy Assistant | 6525 N. Meridian #311, Therapists Unlimited Division of Career Staff, Oklahoma City, OK 73116 | 2013-10-24 |
| Find all providers in zip 73116 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471402 | Brenda June Wilson | Nurse Practitioner | 8609 Sw 58th Cir, Oklahoma City, OK 73179-7910 | 2020-06-15 |
| 1508328998 | Jennifer Alison Phillips | Nurse Practitioner | 6101 Ne 107th St, Oklahoma City, OK 73151-9560 | 2019-04-03 |
| 1952875981 | Brieana Kay Dawson | Nurse Practitioner | 8501 Sw 48th St, Oklahoma City, OK 73179-4622 | 2019-01-12 |
| 1528539541 | Sheena Margariet Musgrove | Nurse Practitioner | 3101 Hampshire Ln, Oklahoma City, OK 73179-1206 | 2018-12-17 |
| 1922593771 | Terry Murdock | Nurse Practitioner | 6305 N Villa Ave Apt 13, Oklahoma City, OK 73112-7133 | 2018-06-25 |
| 1487157772 | Misti Jayne Moon-harris | Nurse Practitioner | 8125 S Walker Ave Ste A, Oklahoma City, OK 73139-9417 | 2018-03-13 |
| 1114426053 | Jennifer Lauren Lee | Nurse Practitioner | 4401 Mcauley Blvd Ste 1100, Oklahoma City, OK 73120-8533 | 2018-02-06 |
| 1295241891 | Rachel Sims | Nurse Practitioner | 8408 Nw 143rd Ter, Oklahoma City, OK 73142-7002 | 2017-12-18 |
| 1417475997 | Tola Janet Suleiman | Nurse Practitioner | 13024 Almond Dr, Oklahoma City, OK 73170-1152 | 2017-09-05 |
| 1477073609 | Mary Ann Hayden | Nurse Practitioner | 3224 Sw 119th Street, Hennessee & Associates, Oklahoma City, OK 73170 | 2017-06-20 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73116 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.