JOHN ROBERT WAGGONER JR. (NPI# 1013352194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013352194 |
| Entity Type | Individual |
| Full Name | JOHN ROBERT WAGGONER JR. |
| Credential | B.A. |
| Practice Address |
4455 E 12th Ave Denver CO 80220-2415 |
| Mailing Address |
457 Elm St Denver CO 80220-5122 |
| Practice Telephone | 3035047900 |
| Mailing Telephone | 7202027387 |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730354986 | John Craig Waggoner | Pharmacist | 510 Coronado St, Bonner Springs, KS 66012-1203 | 2008-04-29 |
| 1699336867 | John Ross Waggoner | Behavior Technician | 8000 West End Road, Anchorage, AK 99501 | 2019-06-27 |
| 1104320076 | John P Waggoner | Orthopaedic Surgery | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2018-03-23 |
| 1255779922 | John Hastings Waggoner | Physical Therapist | 2005 Avalon Ave, Muscle Shoals, AL 35661-3188 | 2013-06-04 |
| 1710040886 | John Wesley Waggoner | Clinical Neuropsychologist | 2200 Bergquist Dr, 59 Mhs/sgowmp - Neuropsychology, 4th Floor, Lackland A F B, TX 78236-9907 | 2006-12-19 |
| 1922053016 | John W. Waggoner IIi | Internal Medicine | 500 Lilly Rd Ne, Suite 100, Olympia, WA 98506-5195 | 2006-05-24 |
| Street Address |
4455 E 12TH AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80220-2415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295735595 | Mark Scott Marshall | Psychiatry & Neurology | 4455 E 12th Ave, Denver, CO 80220-2415 | 2005-07-28 |
| 1467053033 | Bridget Frances Rowe | Social Worker | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-11-02 |
| 1558977116 | Nathalie Melissa Alvarado | Case Manager/Care Coordinator | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-09-18 |
| 1578179222 | Bria Voorhees | Nurse's Aide | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-09-18 |
| 1932715844 | Shawnna Jessica Kirby | Licensed Practical Nurse | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-09-17 |
| 1033722335 | Kevin Fisher | Social Worker | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-08-26 |
| 1982217295 | Peter F Crowley | Social Worker | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-08-26 |
| 1962014035 | Abigail Clark | Licensed Practical Nurse | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-08-20 |
| 1982212817 | Cara La Rhe Lipford | Social Worker | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-07-16 |
| 1437776549 | Laura Christina Messenger | Social Worker | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053876748 | Woody Dental Pllc | Dentist | 5989 E Colfax Avenue, Denver, CO 80220 | 2019-02-06 |
| 1366961930 | Maita Angelica Thams | Case Manager/Care Coordinator | 4455 E. 12th Ave, Denver, CO 80220 | 2017-09-14 |
| 1962943837 | Rocky Mountain Therapy Ltd | Clinic/Center | 883 Jersey St, Denver, CO 80220 | 2017-03-13 |
| 1578019188 | Alfredo Guzman | Pharmacist | 1055 Cleremont, Denver, CO 80220 | 2016-09-01 |
| 1265802144 | Joseph Parker Morse | Case Manager/Care Coordinator | 4455 East 12th Avenue, Denver, CO 80220 | 2015-10-05 |
| 1104296789 | Eric Poissant | Physical Therapist | 4700 East Hale Parkway, #550, Denver, CO 80220 | 2015-09-25 |
| 1104292085 | Casey Lucarelli | Student in an Organized Health Care Education/Training Program | 4455 E. 12th Av., Mhcd, Denver, CO 80220 | 2015-08-14 |
| 1124414081 | Domenic Michael Terenzi | Hospitalist | 8001 E 11th Ave Unit 5210, Denver, CO 80220 | 2015-04-07 |
| 1730598566 | Jessica Nichole Heck | Pharmacist | 1055 Clermont Street (119), Denver Va Medical Center- Echcs, Denver, CO 80220 | 2014-08-06 |
| 1063840171 | Kellie Ann Douglas | Nurse Practitioner | 4545 E 9th Ave Ste 260, Denver, CO 80220 | 2013-10-29 |
| Find all providers in zip 80220 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326116 | Krissy Marlene Ramsey | Counselor | 44 Cook St Ste 100, Denver, CO 80206-5823 | 2020-11-05 |
| 1528668795 | Laura Lynn Edwards | Counselor | 1001 E 62nd Ave Unit 590, Denver, CO 80216-1159 | 2020-10-27 |
| 1659970341 | Laura Virginia Karban Jochens | Counselor | 1805 S Bellaire St # 215-01, Denver, CO 80222-4305 | 2020-10-22 |
| 1740888163 | Maya Nath | Counselor | 1554 N Emerson St Unit 8, Denver, CO 80218-1450 | 2020-10-16 |
| 1174121347 | Alex Artio | Counselor | 9251 E 33rd Ave, Denver, CO 80238-3500 | 2020-10-11 |
| 1275149486 | Laura Kay Thompson | Counselor | 3333 Regis Blvd Ste 114, Denver, CO 80221-8926 | 2020-09-22 |
| 1063028637 | David Bryan Friedentag | Counselor | 3855 S Monaco Pkwy Apt 101, Denver, CO 80237-1207 | 2020-09-19 |
| 1699380980 | Gabrielle Whitney Kaufman | Counselor | 6300 E Hampden Ave Apt 2316, Denver, CO 80222-7688 | 2020-09-13 |
| 1205441185 | Noreen Gul Khan | Counselor | 1901 N Grant St Apt 1013, Denver, CO 80203-1583 | 2020-09-09 |
| 1396359436 | Kimberly Salazar | Counselor | 925 N Humboldt St Apt 316, Denver, CO 80218-3546 | 2020-09-05 |
| Find all providers in DENVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.