MRS. TERESA CHRISTINA WAGGONER (NPI# 1053627075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053627075 |
| Entity Type | Individual |
| Full Name | MRS. TERESA CHRISTINA WAGGONER |
| Credential | COTA/L |
| Practice Address |
201 S Northpark Ln Joplin MO 64801-8426 |
| Practice Telephone | 4176234313 |
| Practice Fax Number | 4176210129 |
| Mailing Telephone | 4176234313 |
| Mailing Fax Number | 4176210129 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 2010019101 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437562741 | Teresa Cha Waggoner | Nurse Practitioner | 23772 Newhall Avenue, Newhall, CA 91321 | 2014-06-04 |
| Street Address |
201 S NORTHPARK LN |
| City | JOPLIN |
| State | MO |
| Zip Code | 64801-8426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568480275 | Spring River Christian Village, Inc. | Skilled Nursing Facility | 201 S Northpark Ln, Joplin, MO 64801-8426 | 2006-07-18 |
| 1962969055 | Sonja Stark | Occupational Therapist | 201 S Northpark Ln, Joplin, MO 64801-8426 | 2019-02-25 |
| 1669937389 | Brian Dunn | Occupational Therapist | 201 S Northpark Ln, Joplin, MO 64801-8426 | 2019-02-06 |
| 1164739835 | Mariacorazon Kilongkilong | Physical Therapist | 201 S Northpark Ln, Joplin, MO 64801-8426 | 2010-09-01 |
| 1417263252 | Edward M. Ross | Physical Therapy Assistant | 201 S Northpark Ln, Joplin, MO 64801-8426 | 2010-08-30 |
| 1215243225 | Connie Suzzette Chambers | Physical Therapy Assistant | 201 S Northpark Ln, Joplin, MO 64801-8426 | 2010-08-27 |
| 1780910182 | Kimberly Yost | Speech-Language Pathologist | 201 S Northpark Ln, Joplin, MO 64801-8426 | 2009-10-20 |
| 1265768667 | Virginia Holland | Occupational Therapy Assistant | 201 S Northpark Ln, Joplin, MO 64801-8426 | 2009-10-20 |
| 1639328057 | Vilma G Berga | Physical Therapist | 201 S Northpark Ln, Joplin, MO 64801-8426 | 2008-09-09 |
| 1548417520 | Robyn Lynn Jennings | Occupational Therapy Assistant | 201 S Northpark Ln, Joplin, MO 64801-8426 | 2008-08-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747783 | Chelsea Marie Wilson | Speech-Language Pathologist | Kaleidoscope Clinic 3531 N Range Line Rd, Joplin, MO 64801 | 2020-07-21 |
| 1639669807 | Cassandra Lee Williams | Speech-Language Pathologist | 310 W 8th Street, Joplin, MO 64801 | 2018-05-14 |
| 1427593177 | Healthone Labs LLC | Clinical Medical Laboratory | 101 N Rangline Rd, 304, Joplin, MO 64801 | 2017-01-04 |
| 1902253768 | Options Outpaitent Counseling Service | Counselor | 1515 W 10th St., Suite E, Joplin, MO 64801 | 2016-05-20 |
| 1467833871 | Regan Gass | Nurse Practitioner | 2912 West 16th Street, Joplin, MO 64801 | 2015-06-11 |
| 1881091171 | Pamela Ann Younger | Dental Hygienist | 530 S Maiden Lane, Joplin, MO 64801 | 2014-12-02 |
| 1588908065 | Amy Maria Manrique | Counselor | 301 E. Virginia Street, Joplin, MO 64801 | 2012-11-21 |
| 1356612329 | Ideal Care Clinical Services, LLC | Pharmacy | 5898 North Main, Suite 109, Joplin, MO 64801 | 2012-01-23 |
| 1124256037 | Nathalie Grace Canete Husain | Physical Therapist | Gmmpcpi 214 West 5th St., Suite D & E, Joplin, MO 64801 | 2009-06-30 |
| 1912162447 | David Odinga Egessah | Occupational Therapist | 214 West 5th St, Gmm Procare Providers Inc, Joplin, MO 64801 | 2008-07-24 |
| Find all providers in zip 64801 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982135497 | Kimberly Vandiver | Occupational Therapy Assistant | 4087 W Fountain Rd, Joplin, MO 64801-7686 | 2017-03-26 |
| 1417494733 | John Soi | Occupational Therapy Assistant | 2700 E 34th St, Joplin, MO 64804-4310 | 2017-01-24 |
| 1972049294 | Jennifer Jacks | Occupational Therapy Assistant | 2700 E 34th St, Joplin, MO 64804-4310 | 2017-01-10 |
| 1629510292 | Jamie Denise Rawlings | Occupational Therapy Assistant | 2700 E 34th St, Joplin, MO 64804-4310 | 2016-11-13 |
| 1265768667 | Virginia Holland | Occupational Therapy Assistant | 201 S Northpark Ln, Joplin, MO 64801-8426 | 2009-10-20 |
| 1548417520 | Robyn Lynn Jennings | Occupational Therapy Assistant | 201 S Northpark Ln, Joplin, MO 64801-8426 | 2008-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294361 | Carolyn Marie Placht | Occupational Therapy Assistant | 4019 Shenandoah Ave, Saint Louis, MO 63110-3928 | 2020-10-26 |
| 1053927129 | Kirk Zimmermann | Occupational Therapy Assistant | 1907 Congress St, Saint Louis, MO 63118-1705 | 2020-09-23 |
| 1942814363 | Marquita S Powell | Occupational Therapy Assistant | 9444 Duenke Dr, Saint Louis, MO 63137-1212 | 2020-09-02 |
| 1740806025 | Ashely Moore | Occupational Therapy Assistant | 27 Reinke Rd, Ellisville, MO 63021-4700 | 2020-06-22 |
| 1619505534 | Bethany Rice | Occupational Therapy Assistant | 124 Nw 90th Rd, Lamar, MO 64759-8154 | 2020-03-27 |
| 1366076929 | Kourtney Brooke Anderson | Occupational Therapy Assistant | 710 Newton Ave, Kahoka, MO 63445-1009 | 2020-02-23 |
| 1619508561 | Halley Jean Hawkins | Occupational Therapy Assistant | 9221 N Garfield Ave, Kansas City, MO 64155-3260 | 2020-01-29 |
| 1518503895 | Chavone Bonwell | Occupational Therapy Assistant | 13000 Corrington Ave, Grandview, MO 64030-2732 | 2019-11-21 |
| 1134763816 | Allyson Kristine Barone | Occupational Therapy Assistant | 5178 King St, Imperial, MO 63052-4000 | 2019-11-05 |
| 1962046862 | Kimberly Sue Bollinger | Occupational Therapy Assistant | 2085 Bluestone Dr, Saint Charles, MO 63303-6726 | 2019-11-04 |
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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.