Individual provider Active NPI

Vanessa Stapleton-Waugh, D.C.

  • Chiropractor
  • Clearwater, FL
National Provider Identifier
1932269891
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9745 Issued in FL
Practice address
516 Lakeview Road
Ste 2
Clearwater, FL 33756-3302
Phone
(727) 687-6454
Fax
(727) 466-1950
NPI assigned
Dec 11, 2006
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9745 FL Primary

Addresses

Primary practice location

516 Lakeview Road
Ste 2
Clearwater, FL 33756-3302

Mailing address

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

Other names 1

  • Dr. Vanessa Waugh Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090811000736 FL Practitioner - Chiropractic 3375697261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Vanessa Waugh D C LLC Chiropractor CurrentSince Oct 26, 2017 Accepting new patients
Brett M Herrington, DC, PA Chiropractor Past Accepting new patients
Donald J. Krippendorf PA Chiropractor Past Accepting new patients

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1932269891",
    "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 ROAD",
            "address_2": "STE 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563302",
            "telephone_number": "727-687-6454",
            "fax_number": "727-466-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLETON-WAUGH",
        "first_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "WAUGH",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.