MICHELLE DIANE WAGGONER (NPI# 1124585641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124585641 |
| Entity Type | Individual |
| Full Name | MICHELLE DIANE WAGGONER |
| Credential | LPN |
| Practice Address |
8120 Garnet Dr Dayton OH 45458-2141 |
| Mailing Address |
446 Morgan St Cincinnati OH 45206-2348 |
| Practice Telephone | 5138347063 |
| Practice Fax Number | 5138731567 |
| Mailing Telephone | 5138347063 |
| Mailing Fax Number | 5138731567 |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN.130695.MEDS- | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316091275 | Michelle K Waggoner | Chiropractor | 501 Ne Hood Ave, Ste 205, Gresham, OR 97030 | 2007-01-22 |
| 1568684942 | Michelle Rene Waggoner | Speech-Language Pathologist | 1401 Churchill St, Waupaca, WI 54981-2027 | 2007-05-03 |
| Street Address |
8120 GARNET DR |
| City | DAYTON |
| State | OH |
| Zip Code | 45458-2141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356341911 | Laila Ibrahim Gomaa | Anesthesiology | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2005-07-26 |
| 1023643392 | Luis James Villagrana | Counselor | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2020-03-07 |
| 1467084707 | Scott Stebbins | Counselor | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2020-02-05 |
| 1639709512 | Nicole Marie Buhrman | Licensed Practical Nurse | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2020-01-20 |
| 1205484953 | Katherine Wolfe | Counselor | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2019-08-27 |
| 1295380053 | Ashley Tanner | Counselor | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2019-08-07 |
| 1821641085 | Jacqueline Milling | Counselor | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2019-07-17 |
| 1356901342 | Andrew Baney | Licensed Practical Nurse | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2019-06-20 |
| 1851951149 | Nichole Danielle Cordell | Licensed Practical Nurse | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2019-06-18 |
| 1962965400 | Simbe S. Wilson | Case Manager/Care Coordinator | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2019-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948170 | John M Duchak Md Cardiology LLC | Specialist | 1036 Wild Hickory Lane, Centerville, OH 45458 | 2020-09-24 |
| 1942833389 | Colleen Stevens | Counselor | 955 Sweeney Drive, Dayton, OH 45458 | 2020-02-13 |
| 1740770197 | Social Row Transitional Care, Inc. | Skilled Nursing Facility | 250 West Social Row Road, Centerville, OH 45458 | 2018-05-11 |
| 1326568833 | Mary Ann Horton | Registered Nurse | 1362 Hickoryview Ct, Dayton, OH 45458 | 2017-06-26 |
| 1487101911 | Brianna Burkman | Specialist/Technologist | 1400 Stone Ash Ct, Centerville, OH 45458 | 2016-09-01 |
| 1720434707 | Ascent Health, LLC | Community/Behavioral Health | 1162 Peachcreek Rd., Dayton, OH 45458 | 2016-05-10 |
| 1821450206 | Chi Living Communties | Skilled Nursing Facility | 1050 St. Leonard Way, Centerville, OH 45458 | 2016-03-24 |
| 1265842835 | Amanda Powell | Physical Therapist | 9582 Tahoe Drive, Centerville, OH 45458 | 2014-05-05 |
| 1255774337 | Rita Charlene Penley | Counselor | 99 South Main St, Centerville, OH 45458 | 2013-04-09 |
| 1447503933 | Martha Ann Sheldrick | Nurse Practitioner | 212 Walnut Grove Dr, Centerville, OH 45458 | 2012-10-21 |
| Find all providers in zip 45458 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911794 | Ashley Renee' Hall | Licensed Practical Nurse | 4360 Nevada Ave, Dayton, OH 45416-1436 | 2020-08-06 |
| 1659980910 | Danielle Elizabeth Wilson | Licensed Practical Nurse | 2511 E 3rd St, Dayton, OH 45403-2018 | 2020-07-23 |
| 1235755448 | Kameron Owens | Licensed Practical Nurse | 1102 Salem Ave Apt 2e, Dayton, OH 45406-5148 | 2020-06-23 |
| 1801423421 | Renee Robinson | Licensed Practical Nurse | 4424 Bluehaven Dr, Dayton, OH 45406-3333 | 2020-03-24 |
| 1598306458 | Asia Y Edwards | Licensed Practical Nurse | 1811 Coretta Ct, Dayton, OH 45417-4522 | 2019-10-02 |
| 1154972131 | Shawnta Renee Brown | Licensed Practical Nurse | 5125 Altrim Rd, Dayton, OH 45417-6017 | 2019-09-22 |
| 1447808050 | Desiree Nicole Baker | Licensed Practical Nurse | 1515 Canfield Ave, Dayton, OH 45406-4208 | 2019-08-27 |
| 1982260543 | Leetonia L Maye | Licensed Practical Nurse | 4220 Camargo Dr Apt F, Dayton, OH 45415-3315 | 2019-05-19 |
| 1720641046 | Sacha Jenell Mahaley | Licensed Practical Nurse | 40 S Williams St, Dayton, OH 45402-8235 | 2019-04-22 |
| 1134683915 | Marcus D Ewings | Licensed Practical Nurse | 4817 Kentfield Dr, Dayton, OH 45426-1823 | 2019-01-26 |
| Find all providers in DAYTON | ||||
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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.