MS. FIDELA WAGGONER (NPI# 1376755488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376755488 |
| Entity Type | Individual |
| Full Name | MS. FIDELA WAGGONER |
| Credential | R.N. |
| Practice Address |
12530 Out of The Way Place Auburn CA 95603-2927 |
| Practice Telephone | 5303058048 |
| Mailing Telephone | 5303058048 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
352490 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PROVIDER NUMBER | RVN003000 | 01 |
| CA | REGISTERED NURSE | 352490 | 01 |
| Street Address |
12530 OUT OF THE WAY PLACE |
| City | AUBURN |
| State | CA |
| Zip Code | 95603-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271508 | James Robert Thornton | Social Worker | 398 Rhoes View Dr, Auburn, CA 95603 | 2020-07-06 |
| 1437713674 | June Meja Razzano | Psychoanalyst | 265 Nevada Station, Auburn, CA 95603 | 2019-04-23 |
| 1689175366 | Georgia Lee Bates | Speech-Language Pathologist | 2145 Bell Road, 215, Auburn, CA 95603 | 2018-02-27 |
| 1811406085 | Veronica Evette Magana | Specialist | 11485 C Ave, Auburn, CA 95603 | 2017-09-20 |
| 1043733777 | Ken Rescate | Physical Therapist | 2145 Bell Road, #215, Auburn, CA 95603 | 2017-07-25 |
| 1730534975 | Juanita Carey | Counselor | 1190 Heritage Oak Place, Auburn, CA 95603 | 2016-04-25 |
| 1255747010 | Cara Wilber | Marriage & Family Therapist | 11512 B Avenure, Auburn, CA 95603 | 2014-07-01 |
| 1538572094 | Mark Garrison | Pharmacist | 13386 Lincoln Way, Auburn, CA 95603 | 2014-06-03 |
| 1427460583 | Tessa Jacques | Marriage & Family Therapist | 263 Nevada Station, Auburn, CA 95603 | 2014-05-23 |
| 1629497359 | Elisabeth Ann Neubert-cook | Registered Nurse | 11484 B. Avenue, Auburn, CA 95603 | 2014-04-09 |
| Find all providers in zip 95603 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730567454 | Antonia Schaeffer | Registered Nurse | 111484 B Ave, Auburn, CA 95630 | 2015-05-14 |
| 1629497359 | Elisabeth Ann Neubert-cook | Registered Nurse | 11484 B. Avenue, Auburn, CA 95603 | 2014-04-09 |
| 1316360761 | Elise Marie Vandendriesche | Registered Nurse | 11484 B Avenue, Auburn, CA 95603 | 2014-01-21 |
| 1780731125 | Traci Marie Corda | Registered Nurse | 11484 B Ave, Auburn, CA 95603-2603 | 2007-01-05 |
| 1639739139 | Tammy Estabrook Acker | Registered Nurse | 30 Belgrade Ave Ste A, Auburn, ME 04210-4096 | 2019-06-17 |
| 1144714635 | Sarah Dowdle | Registered Nurse | 11484 B Ave, Auburn, CA 95603-2603 | 2018-06-18 |
| 1346762408 | Cathy Lucile Allen | Registered Nurse | 901 Auburn Way N Ste A, Auburn, WA 98002-4100 | 2017-07-11 |
| 1700246006 | Sarah Lougher Bertero | Registered Nurse | 11484 B Ave, Auburn, CA 95603-2603 | 2016-02-29 |
| 1730569922 | Meg Dorsey | Registered Nurse | 11484 B Ave, Auburn, CA 95603-2603 | 2015-06-03 |
| 1184018624 | Chandell Moore | Registered Nurse | 11484 B Ave, Auburn, CA 95603-2603 | 2015-03-23 |
| Find all providers in AUBURN | ||||
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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.