Maudel Citizen PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MAUDEL CITIZEN PLLC

Practice address

100 W Texas Ave Apt 122
Webster, TX 77598-3260

Phone

(518) 542-9371

NPI assigned

Sep 17, 2019

Last updated

Sep 17, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Katherine Nicole Van Wagenen, DC

Title

Owner

Phone

(518) 542-9371

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1194375519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W TEXAS AVE APT 122",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775983260",
            "telephone_number": "518-542-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W TEXAS AVE APT 122",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775983260",
            "telephone_number": "518-542-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUDEL CITIZEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "VAN WAGENEN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-542-9371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Webster, TX
• Providers in Webster, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.

Verify at the official NPI Registry.