RICHARD WAGGONER (NPI# 1386036382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386036382 |
| Entity Type | Individual |
| Full Name | RICHARD WAGGONER |
| Practice Address |
750 Mathias Dr Springdale AR 72762-0741 |
| Mailing Address |
602 N Walton Blvd Bentonville AR 72712-4576 |
| Practice Telephone | 4797501272 |
| Practice Fax Number | 4797501261 |
| Mailing Telephone | 4794641060 |
| Mailing Fax Number | 4792716307 |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2015-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386698835 | Richard K Waggoner | Physician Assistant | 2116 W Faidley Ave, Ste 400, Grand Island, NE 68803-4671 | 2006-05-20 |
| 1548242514 | Richard Adam Waggoner | Physician Assistant | 4881 Sugar Maple Dr, Wpafb, OH 45433-5546 | 2005-11-16 |
| Street Address |
750 MATHIAS DR |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762-0741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780832121 | Michelle Deann Posey | Counselor | 750 Mathias Dr, Springdale, AR 72762-0741 | 2008-08-27 |
| 1861986416 | April Williams | Counselor | 750 Mathias Dr, Springdale, AR 72762-0741 | 2018-06-18 |
| 1053805911 | Regina Baty | Counselor | 750 Mathias Dr, Springdale, AR 72762-0741 | 2018-06-14 |
| 1962909515 | Holleigh Sorrell | Case Manager/Care Coordinator | 750 Mathias Dr, Springdale, AR 72762-0741 | 2018-04-10 |
| 1326579939 | Elizabeth Bennett | Counselor | 750 Mathias Dr, Springdale, AR 72762-0741 | 2017-03-24 |
| 1558713933 | Breanna Jewell | Counselor | 750 Mathias Dr, Springdale, AR 72762-0741 | 2016-07-08 |
| 1639520240 | Mary Jones | Counselor | 750 Mathias Dr, Springdale, AR 72762-0741 | 2016-06-24 |
| 1124401518 | Kylee Lewis | Counselor | 750 Mathias Dr, Springdale, AR 72762-0741 | 2015-07-02 |
| 1902290174 | Emily Smith | Counselor | 750 Mathias Dr, Springdale, AR 72762-0741 | 2015-03-25 |
| 1457750036 | Rachel Prisco | Counselor | 750 Mathias Dr, Springdale, AR 72762-0741 | 2014-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326393489 | Oaks Counseling LLC | Counselor | 6815 Isaacs Orchard Rd Ste B1, Springdale, AR 72762-6096 | 2012-07-16 |
| 1770736605 | Amy Butler | Counselor | 6733 Sunset Ridge Cir, Springdale, AR 72762-8162 | 2008-10-23 |
| 1902056682 | Justin Wayne Phillips | Counselor | 4015 Allison Ln Apt 207, Springdale, AR 72762-0659 | 2008-09-30 |
| 1457501595 | Gene Keith Marinus | Counselor | 6801 Isaacs Orchard Rd Ste 206, Springdale, AR 72762-6799 | 2008-09-25 |
| 1568611309 | Keri Elizabeth Forrester | Counselor | 1022 Jones Rd Ste 2, Springdale, AR 72762 | 2008-09-17 |
| 1508014184 | Matthew Kirk Barker | Counselor | Ozark Guidance 2400 S 48th Street, Springdale, AR 72766-6683 | 2008-09-08 |
| 1780832121 | Michelle Deann Posey | Counselor | 750 Mathias Dr, Springdale, AR 72762-0741 | 2008-08-27 |
| 1073722344 | Northwest Arkansas Counseling Inc | Counselor | 130 N Spring St, Springdale, AR 72764 | 2007-05-22 |
| 1619180619 | Amy Kathleen Refshauge | Counselor | 3291 S Thompson St Ste A105, Springdale, AR 72764-7344 | 2007-05-07 |
| 1255426664 | Megan Blythe Miller | Counselor | 2466 S. 48th Street, Springdale, AR 72762 | 2006-10-03 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72762 |
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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.