Trent Vanwagoner

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704356404 Issued in MI

Practice address

3825 Hendershot Ave NW
Walker, MI 49544-9118

Phone

(616) 965-4267

NPI assigned

Sep 29, 2026

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1932013976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 BIRCH CREEK CT SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495121880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HENDERSHOT AVE NW",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495449118",
            "telephone_number": "616-965-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWAGONER",
        "first_name": "TRENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704356404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Vanbeek, MA, BCBA
• Taylor Vanderlaan
• Amy Vanderroest, RN
• Morgan Renee Vaneck
• Stephanie Nicole Vannest
• Abigail Venlet, PA-C
• Rebecca Voigt
• Ruth Wagner
• Walgreen Co (Walgreens #10351)
• Walgreen Co (Walgreens #12777)

• Registered Nurse in Walker, MI
• Providers in Walker, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.