NPI age
11 years
Enumerated 2015-02-23
● Active
Type 1 · Individual
Rebecca S Waggoner, NP
Waggoner is 1 of 147 nurse practitioner providers in Tyler and 1 of 5264 in Texas.
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
TX, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-06-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5264 active nurse practitioner providers in Texas.
NPI age
11 years
↑ 3 yr above median (8 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
2
In the 37% of peers with subspecialties
NPI lifetime · 2015 → 2026
2015-02Enumerated in NPPES
2015
2026
Where they practice
Practice location
703 S Fleishel Ave Ste 5000
Tyler, TX 757012015
Mailing address
Po Box 846098
Dallas, TX 752846098
Additional practice locations
1 secondary location on file with NPPES.
Location 2
550 17th Ave Ste 680
Seattle, WA 981225795
Specialties
-
Nurse Practitioner Primary(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
-
Nurse PractitionerDefinition to come...
-
Registered Nurse(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.