Wilma Sue Tagaban, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

380 Issued in AK

Practice address

3245 Hospital Dr
Juneau, AK 99801-7809

Phone

(907) 463-4040

NPI assigned

Mar 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265550164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 TAKU BLVD",
            "address_2": "PO BOX 21086",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019270",
            "telephone_number": "907-789-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 HOSPITAL DR",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017809",
            "telephone_number": "907-463-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGABAN",
        "first_name": "WILMA",
        "middle_name": "SUE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AK",
            "license": "380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Swinton, PHD, LMFT, MEDFT
• David Swofford
• Symphony Homes and Services LLC (Symphony or Symphony Homes)
• Saralyn Tabachnick, MED LPC
• Angela Tabron
• Matthew Aaron Taintor, MD
• Jason A Tapley, PHARMD
• Karen Ann Taylor, RN
• Lindsey Taylor, R.N., M.S.N., M.P.H.
• Pagey Ann Taylor, MA, LPC

• Licensed Practical Nurse in Juneau, AK
• Providers in Juneau, AK by specialty
• Licensed Practical Nurse in Alaska

• 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.