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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669997201 | Jennifer Cherry Waggoner | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103-6983 | 2017-08-04 |
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 |
Street Address |
427 W ORCHARD ST STE D |
City | VANDALIA |
State | IL |
Zip Code | 62471-1256 |
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 |
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 Code | 237700000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Hearing Instrument Specialist |
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 |
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 |
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 |
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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.