Organization Active NPI

Dr Vanessa Waugh D C LLC

  • Chiropractor
  • Clearwater, FL
National Provider Identifier
1801389945
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9745 Issued in FL
Legal business name
DR VANESSA WAUGH D C LLC
Practice address
516 Lakeview Rd Ste 2
Clearwater, FL 33756-3302
Phone
(727) 687-6454
Fax
(727) 466-1950
NPI assigned
Jun 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Dr. Vanessa Stapleton-Waugh, DCNPI 1932269891
Title
Owner
Phone
(727) 687-6454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9745 FL Primary

Addresses

Primary practice location

516 Lakeview Rd Ste 2
Clearwater, FL 33756-3302

Mailing address

516 Lakeview Rd Ste 2
Clearwater, FL 33756-3302
Phone (727) 687-6454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190604002961 FL Part B Supplier - Clinic/Group Practice 4385977479 Receives reassigned benefits from 1 practitioner
Practice locations: Clearwater, FL

National Provider Directory

National Provider Directory

Locations

516 Lakeview Rd
Ste 2
Clearwater, FL 33756
Phone (727) 687-6454

611 Druid Rd E
Ste 304
Clearwater, FL 33756
Phone (727) 687-6454

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1801389945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 LAKEVIEW RD STE 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563302",
            "telephone_number": "727-687-6454",
            "fax_number": "727-466-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 LAKEVIEW RD STE 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563302",
            "telephone_number": "727-687-6454",
            "fax_number": "727-466-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR VANESSA WAUGH D C LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "STAPLETON-WAUGH",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-687-6454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.