Patricia Elaine Waage

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

4132 Vermont Ave
Grand Island, NE 68803-1060

Phone

(308) 383-5807

NPI assigned

Apr 14, 2025

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

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1750176111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 VERMONT AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031060",
            "telephone_number": "308-383-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 VERMONT AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031060",
            "telephone_number": "308-383-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAAGE",
        "first_name": "PATRICIA",
        "middle_name": "ELAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Biancye Vondal
• Thomas Lee Vonderfecht, MD
• Christina Vrooman
• VSL Grand Island LLC
• Connie Waage
• Richard K Waggoner, P.A.-C
• Becky Wagner
• Gretchen Lee Wagner, LIMHP
• Wagoner Medical Group PC
• John A Wagoner, M.D.

• Day Training/Habilitation Specialist in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Day Training/Habilitation Specialist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.