Individual provider Active NPI

Daniel Lewis Waegele Jr.

  • Case Management Registered Nurse
  • Klamath Falls, OR
National Provider Identifier
1326786583
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
201243682 Issued in OR
Practice address
2225 N. El Dorado Avenue
Klamath Falls, OR 97601-6174
Phone
(541) 273-6206
NPI assigned
May 26, 2022
Last updated
May 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 201243682 OR Primary

Addresses

Primary practice location

2225 N. El Dorado Avenue
Klamath Falls, OR 97601-6174

Mailing address

PO Box 902
Keno, OR 97627-0902
Phone (541) 810-1166

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

LicenseStateTypeSpecialty
201243682ORMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1326786583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 902",
            "city": "KENO",
            "state": "OR",
            "postal_code": "976270902",
            "telephone_number": "541-810-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 N. EL DORADO AVENUE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016174",
            "telephone_number": "541-273-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAEGELE",
        "first_name": "DANIEL",
        "middle_name": "LEWIS",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "OR",
            "license": "201243682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.