Active NPI
Rochelle Waggoner
- Registered Nurse
- Conroe, TX
National Provider Identifier
1134780323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 845806
- Practice address
- 16728 Foursquare Dr
Conroe, TX 77385-2502 - Phone
- (713) 410-5725
- NPI assigned
- Jun 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 845806 | TX | Primary |
Addresses
Primary practice location
16728 Foursquare Dr
Conroe, TX 77385-2502
Mailing address
16728 Foursquare Dr
Conroe, TX 77385-2502
Phone (713) 410-5725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 845806 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1134780323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16728 FOURSQUARE DR",
"city": "CONROE",
"state": "TX",
"postal_code": "773852502",
"telephone_number": "713-410-5725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16728 FOURSQUARE DR",
"city": "CONROE",
"state": "TX",
"postal_code": "773852502",
"telephone_number": "713-410-5725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGGONER",
"first_name": "ROCHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-27",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "845806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.