Active NPI
Donna Wagoner-Stumpe, CNM
- Physician Assistant
- Clearwater, FL
National Provider Identifier
1154537199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- D216121
- Practice address
- 1010 Jeffords St
Clearwater, FL 33756-4024 - Phone
- (727) 446-9100
- Fax
- (727) 446-9900
- NPI assigned
- May 15, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | D216121 | FL | Primary |
Addresses
Primary practice location
1010 Jeffords St
Clearwater, FL 33756-4024
Mailing address
1010 Jeffords St
Clearwater, FL 33756-4024
Phone (727) 446-9100
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
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D216121 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154537199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 JEFFORDS ST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337564024",
"telephone_number": "727-446-9100",
"fax_number": "727-446-9900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 JEFFORDS ST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337564024",
"telephone_number": "727-446-9100",
"fax_number": "727-446-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGONER-STUMPE",
"first_name": "DONNA",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "D216121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.