Angila Melisande Jaeggli, N.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

NT00001428 Issued in WA

Practice address

1610 NE Eastgate Blvd Ste 250
Pullman, WA 99163-5609

Phone

(509) 432-4301

Fax

(509) 335-7227

NPI assigned

Mar 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205966132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 S MERCER ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433912",
            "telephone_number": "206-854-8829",
            "fax_number": "509-335-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 NE EASTGATE BLVD STE 250",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635609",
            "telephone_number": "509-432-4301",
            "fax_number": "509-335-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEGGLI",
        "first_name": "ANGILA",
        "middle_name": "MELISANDE",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "NT00001428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret R Igielski, PHARM D
• Independent Psychologists (Laurie J Smith Laurie J Wilson)
• Ella R Inglebret, PHD, CCC, SLP
• Inland Orthopaedic Surgery and Sports Medicine Clinic PLLC
• Miranda M Jackson
• Majidi Jallow
• Joseph James, PHARMD
• Marek Janout, MD
• Heather Ann Frost Jeng, M.A., CCC-SLP
• Martha Jane Jenkins, PHD

• Family Medicine Physician in Pullman, WA
• Providers in Pullman, WA by specialty
• Family Medicine Physician in Washington

• 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.

Verify at the official NPI Registry.