Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Waggoner Pediatrics, Plc

Pediatrics Physician in Clive, IA · enumerated 2016 · authorized official Julie Waggoner, Arnp.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225572548

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Registry record

Entity type Organization (Type 2)

Legal business name Waggoner Pediatrics, Plc

Other name <Unavail>

Practice address 2555 Berkshire Pkwy Ste A, Clive, IA, 50325

Phone (515) 987-0051

Fax (515) 987-0054

Enumeration date Dec 5, 2016

Last updated in NPPES May 8, 2017

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 28129 (IA) Primary

Authorized official

Name Julie Waggoner

Title Arnp

Phone (515) 987-0051

Other identifiers

Identifier	Type	State	Issuer
1679544548	Other	IA	NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Waggoner Pediatrics, Plc located?

The practice location on file with NPPES is in Clive, IA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-05-08. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Brian Waggoner Pediatrics Physician · Clive, IA NPI 1679544548 Andrea Dettmann-Spurgeon Pediatric Nurse Practitioner · Clive, IA NPI 1346301892

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-05-08.