MISS STEPHANIE LAUREN WAGGONER (NPI# 1629444823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629444823 |
| Entity Type | Individual |
| Full Name | MISS STEPHANIE LAUREN WAGGONER |
| Credential | RN, WHNP-BC |
| Practice Address |
400 N Highland Ave Aurora IL 60506-3814 |
| Practice Telephone | 6308924355 |
| Practice Fax Number | 6308920262 |
| Mailing Telephone | 6308924355 |
| Mailing Fax Number | 6308920262 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
209013055 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073672051 | Stephanie Waggoner | Occupational Therapy Assistant | 6900 West Country Club Dr, Huntington, WV 25705 | 2006-12-06 |
| Street Address |
400 N HIGHLAND AVE |
| City | AURORA |
| State | IL |
| Zip Code | 60506-3814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587464 | Carrie Anne Schulte | Nurse Practitioner | 400 N Highland Ave, Aurora, IL 60506-3814 | 2020-10-30 |
| 1316547581 | Zaira Eyerahi Mondragon Maney | Nurse Practitioner | 400 N Highland Ave, Aurora, IL 60506-3814 | 2020-10-27 |
| 1245845114 | Samantha Ferguson | Nurse Practitioner | 400 N Highland Ave, Aurora, IL 60506-3814 | 2020-09-08 |
| 1750903290 | Melissa Joy Stefanowicz | Nurse Practitioner | 400 N Highland Ave, Aurora, IL 60506-3814 | 2020-05-06 |
| 1720551567 | Jordan Shanahan | Nurse Practitioner | 400 N Highland Ave, Aurora, IL 60506-3814 | 2019-01-04 |
| 1821561648 | Danielle Goebel | Nurse Practitioner | 400 N Highland Ave, Aurora, IL 60506-3814 | 2019-01-03 |
| 1689158826 | Dorothy Mogilnicka Allen | Nurse Practitioner | 400 N Highland Ave, Aurora, IL 60506-3814 | 2018-09-24 |
| 1881178366 | Kanako Ishida | Nurse Practitioner | 400 N Highland Ave, Aurora, IL 60506-3814 | 2018-09-20 |
| 1023592656 | Vna Health Care | Case Management | 400 N Highland Ave, Aurora, IL 60506-3814 | 2018-09-19 |
| 1033627062 | Roma Patel | Nurse Practitioner | 400 N Highland Ave, Aurora, IL 60506-3814 | 2018-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678121 | Yvette Velazquez | Non-emergency Medical Transport (VAN) | 1743 Plum St, Aurora, IL 60506 | 2020-01-09 |
| 1609420173 | Salma Hydari | Dentist | 1264 N Lake St., Aurora, IL 60506 | 2019-08-01 |
| 1720647092 | Tirumala Aggarwal | Dentist | Premier Dental, 1264 N Lake Street, Aurora, IL 60506 | 2019-06-11 |
| 1730644410 | Margaret Elizabeth Beallis | Counselor | 120 Gale St., Aurora, IL 60506 | 2019-02-06 |
| 1639634322 | Jordan Devera | Student in an Organized Health Care Education/Training Program | Aurora University 347 S Gladstone Ave, Pmb 729, Aurora, IL 60506 | 2019-02-06 |
| 1770077737 | Harriet L Miller | Registered Nurse | 1081 Emerald Dr, Aurora, IL 60506 | 2018-06-21 |
| 1275033516 | Lillian Antonia Villamil | Registered Nurse | 400 Mercy Lane, Aurora, IL 60506 | 2018-02-13 |
| 1689173676 | Ideal Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1177 N Highland Ave Ste#204, Aurora, IL 60506 | 2018-02-06 |
| 1417465535 | Aaron Downing | Counselor | 525 N. Edgelawn Ave, Aurora, IL 60506 | 2018-01-11 |
| 1942739222 | Jessica Toma | Pharmacist | 1952 W Galena Blvd, Aurora, IL 60506 | 2017-06-08 |
| Find all providers in zip 60506 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982868055 | Karen Hogan | Nurse Practitioner | 3124 S Parker Rd # A2-450, Aurora, CO 80014-6215 | 2008-07-17 |
| 1841570686 | Chastity Quinn | Nurse Practitioner | 400 N Highland Ave, Aurora, IL 60506-3814 | 2011-08-25 |
| 1659603082 | Suzanne Thorp | Nurse Practitioner | 14446 E Evans Ave, Aurora, CO 80014-1409 | 2010-02-10 |
| 1801993324 | Lois E Norberg | Nurse Practitioner | 2285 Sequoia Dr, Aurora, IL 60506-6209 | 2006-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396308458 | Alexandra H Pape | Nurse Practitioner | 10260 191st St Ste 100, Mokena, IL 60448-8802 | 2019-04-15 |
| 1306313754 | Klaudia Dorota Niedzwiecki | Nurse Practitioner | 654 W Veterans Pkwy Ste A, Yorkville, IL 60560-2510 | 2018-10-24 |
| 1295226728 | Cortney Elizabeth Patrick | Nurse Practitioner | 2900 Frank Scott Pkwy W Ste 966, Belleville, IL 62223-5000 | 2018-05-21 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1124464110 | Michelle Yonkus | Nurse Practitioner | 500 E 22nd St Ste A, Lombard, IL 60148-6102 | 2013-05-16 |
| 1457600306 | Julie Duff | Nurse Practitioner | 5425 W. Addison, Chicago, IL 60641 | 2012-09-06 |
| 1891067765 | Cynthia Ann Wildemuth | Nurse Practitioner | 2112 25th Avenue, Rock Island, IL 61201 | 2012-02-07 |
| 1174803753 | Patricia J Fiorito | Nurse Practitioner | 801 S Milwaukee Ave # 110, Libertyville, IL 60048-3204 | 2011-08-26 |
| 1619102456 | Vickie Eileen Ellis | Nurse Practitioner | 201 W. Kenyon Rd, Champaign, IL 61820-7892 | 2009-05-22 |
| 1942465554 | Maryann Ulery | Nurse Practitioner | 3 Austrian Ct, Lake In The Hills, IL 60156-6515 | 2008-07-23 |
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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.