JENNIFER RENEE WAGGONER


Address: 427 W Orchard St Ste D, Vandalia, IL 62471-1256
Phone: 6183224491

JENNIFER RENEE WAGGONER (NPI# 1427618289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427618289
Entity Type Individual
Full Name JENNIFER RENEE WAGGONER
Practice Address 427 W Orchard St Ste D
Vandalia
IL 62471-1256
Mailing Address 6700 Washington Ave S
Eden Prairie
MN 55344-3405
Practice Telephone 6183224491
Mailing Telephone 4602952947
Mailing Fax Number 1637507512
Enumeration Date 2019-06-14
Last Update Date 2019-06-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 237600000X Audiologist-Hearing Aid Fitter Speech, Language and Hearing Service Providers
Y 237700000X Hearing Instrument Specialist 3360 IL Speech, Language and Hearing Service Providers

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1144409657 Jennifer Waggoner Physical Therapy Assistant 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 2007-10-31
1770788853 Jennifer Lynne Waggoner Massage Therapist 111 W 39th St, Vancouver, WA 98660-1974 2007-06-18

Office Location

Street Address 427 W ORCHARD ST STE D
City VANDALIA
State IL
Zip Code 62471-1256

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043875156 Northland Hearing Centers, Inc Clinic/Center 427 W Orchard St Ste D, Vandalia, IL 62471-1256 2019-05-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083924740 Micah Brasel Optometrist 300 W Randolph, Vandalia, IL 62471 2010-10-15
1154635332 Marion Eye Centers Ltd. Durable Medical Equipment & Medical Supplies 300 West Randolph, Vandalia, IL 62471 2010-07-30
1972771699 Community Resource Center Community Based Residential Treatment Facility, Mental Illness 423 W Main, Vandalia, IL 62471 2008-02-15
1952429078 Julie M Gordon Physical Therapist 126 S. First Street, Vandalia, IL 62471 2007-03-27
1033200183 Penny Attaway Nurse Practitioner 1404 N 5th Street, Vandalia, IL 62471 2006-09-27
1588773089 Pain Relief Center of Vandalia Inc Chiropractor 100 N Kennedy Blvd, Vandalia, IL 62471 2006-08-29
1811003551 Fayco Enterprises Inc Day Training, Developmentally Disabled Services 1313 Sunset Drive, Vandalia, IL 62471 2006-08-23
1174585384 Vandalia Physical Therapy Ltd Physical Therapist 126 S. 1st St., Vandalia, IL 62471 2006-04-04
1548221799 Arkom Chulamorkodt Family Medicine 606 W Jackson St, Vandalia, IL 62471 2006-03-29
1568581163 Ashley Hadowsky Physical Therapist 126 S. First Street, Vandalia, IL 62471 2007-03-28
Find all providers in zip 62471

Taxonomy Information

Taxonomy Code 237700000X
Grouping Speech, Language and Hearing Service Providers
Classification Hearing Instrument Specialist

Taxonomy Definition

Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003460809 Diana Lynn Caudill Hearing Instrument Specialist 812 E National Rd, Vandalia, OH 45377-3016 2019-07-30
1063957421 Sensible Hearing Solutions LLC Hearing Instrument Specialist 308 James Bohanan Dr, Vandalia, OH 45377-2300 2016-12-21
1083158216 Gina Marie Now Hearing Instrument Specialist 76 Fordway Dr Ste 5, Vandalia, OH 45377-1349 2016-12-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104432517 Erin Robinson Hearing Instrument Specialist 304 E Rand Rd Ste 100, Arlington Heights, IL 60004-3188 2020-09-21
1891308573 Schackmann Hearing Group LLC Hearing Instrument Specialist 212 E Jefferson Ave Ste 2, Effingham, IL 62401-3458 2020-08-24
1801419593 Teresa Barnes Hearing Instrument Specialist 60 E Main St Ste 2c, Cary, IL 60013-2227 2020-05-28
1730718024 Grace M Leynes Hearing Instrument Specialist 107 S State St, Monticello, IL 61856-1968 2020-04-07
1659909125 David Mccormick Hearing Instrument Specialist 1521 N Convent St Ste 300, Bourbonnais, IL 60914-1483 2020-03-31
1003443243 Jerry Drabik Hearing Instrument Specialist 100 E Roosevelt Rd Ste 19, Villa Park, IL 60181-3529 2020-03-26
1245866466 Lynne Marie Gilliland Hearing Instrument Specialist 256 S Route 59 Ste 120, Naperville, IL 60540-9108 2020-03-19
1194351395 Victoria Wright Hearing Instrument Specialist 15880 S La Grange Rd Ste D09, Orland Park, IL 60462-4702 2020-03-19
1801428313 Grant Matthew O'bryan Hearing Instrument Specialist 3718 Broadway St, Quincy, IL 62305-2822 2020-02-12
1255963278 William B Hays Hearing Instrument Specialist 1130 E Main St Ste B, Carbondale, IL 62901-3122 2020-02-07
Find all providers with the same taxonomy

Competitor

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City VANDALIA
Zip Code 62471

Improve Information

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Dataset Information

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.

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