Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rebecca S Waggoner, NP

Individual provider Registered Nurse · NPI 1144612508

Rebecca S Waggoner, NP is a Nurse Practitioner in Tyler, Texas. Graduated from University of South Alabama College of Medicine in 2014, 12 years ago. Practices with Christus Trinity Clinic, a 1,531-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas and Washington.

Years since qualifying
12
Trained at
University of South Alabama College of Medicine
Licensed in
TX, WA
In the registry since
2015
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

703 S Fleishel Ave Ste 5000
Tyler, TX 75701-2015
Phone: (903) 606-6139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 550 17th Ave Ste 680, Seattle, WA 98122-5795 — (206) 861-8550

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1004878 (TX)
Registered Nurse Taxonomy 163W00000X · Licence RN60123376 (WA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence AP60542393 (WA)

Record details

NPI number1144612508
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 23, 2015
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Christus Trinity Clinic — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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