CORAL JANE WAGGONER


Address: 4700 Jefferson St Ne Ste 800, Albuquerque, NM 87109-2132
Phone: 5058726005

CORAL JANE WAGGONER (NPI# 1467958942) 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) 1467958942
Entity Type Individual
Full Name CORAL JANE WAGGONER
Credential RPSGT, RRT,CCSH,MBA
Practice Address 4700 Jefferson St Ne Ste 800
Albuquerque
NM 87109-2132
Mailing Address 1869 Montara Ct Nw
Los Lunas
NM 87031-8384
Practice Telephone 5058726005
Practice Fax Number 5158726003
Mailing Telephone 5058726005
Mailing Fax Number 5058726003
Enumeration Date 2018-04-03
Last Update Date 2018-04-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246Z00000X Specialist/Technologist, Other PT2013-0001 NM Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 4700 JEFFERSON ST NE STE 800
City ALBUQUERQUE
State NM
Zip Code 87109-2132

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386286367 Mikaela Epaloose Behavior Technician 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 2019-10-11
1245872464 Marsha Director Behavior Technician 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 2019-10-09
1720637499 Nancy Gail Vice Technician 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 2019-09-05
1598314411 Chau Vu Behavior Technician Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 2019-09-04
1932753498 Noelle Nielsen Behavior Technician 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 2019-08-01
1952967952 Caridad Merkel Obstetrics & Gynecology 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 2019-05-15
1043795149 Margaret Mcconville Physical Therapist Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 2018-09-25
1922586262 Clark Endodontics LLC Dentist 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 2018-07-30
1447736202 Melissa Christine Scott Registered Nurse Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 2018-07-16
1508351990 Gianna Nicole Casarez-quintana Dentist 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 2018-06-27
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Taxonomy Information

Taxonomy Code 246Z00000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other

Taxonomy Definition

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902044365 Precision Surgical, LLC Specialist/Technologist, Other 5515 Darlington Pl Nw, Albuquerque, NM 87114-1358 2009-01-23
1033155031 Sundance Technologies and Training Center, LLC Specialist/Technologist, Other 12300 Menaul Blvd Ne, Albuquerque, NM 87112-2557 2006-06-20
1447539291 Rebecca T Lujan Specialist/Technologist, Other 201 Cedar St Se, Suite 6600, Albuquerque, NM 87106-4917 2011-08-10
1154614881 Hilda De Las Mercedes Avila Specialist/Technologist, Other 3200 Carlisle Blvd Ne, Suite:116, Albuquerque, NM 87110-1600 2011-05-27
1700114386 Julio Antonio Avila Lopez Specialist/Technologist, Other 3200 Carlisle Blvd Ne, Suite:116, Albuquerque, NM 87110-1600 2009-11-19
1447317243 Michael E Trujillo Specialist/Technologist, Other 201 Cedar St Se Ste 6600, Albuquerque, NM 87106-5411 2007-01-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841748241 Ashlee Hilliard Specialist/Technologist, Other 2500 N Florida Ave Apt A, Alamogordo, NM 88310-5408 2016-09-14
1689804791 Carol Denise Manchester-brown Specialist/Technologist, Other 723 Virginia Ave, Alamogordo, NM 88310-6758 2009-07-23
1053460675 Sunset Sleep Center, Ltd Specialist/Technologist, Other 1919 5th St Ste A, Santa Fe, NM 87505-6012 2007-01-10
1609371913 Brenda Ann Johnston Specialist/Technologist, Other 3806 Yellowstone Dr, Las Cruces, NM 88011-9064 2018-03-28
1912377805 Alexandra Bakos Specialist/Technologist, Other 2155 Candelero St, Santa Fe, NM 87505-5649 2015-10-05
1962471565 Ashley Elizabeth Solomon Nelson Specialist/Technologist, Other 201 Cedar Se #405, Alb, NM 87106 2006-03-16
1588648505 Tammy D Haley Specialist/Technologist, Other Us Hwy 491 North, Shiprock, NM 87420 2005-12-02

Competitor

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City ALBUQUERQUE
Zip Code 87109

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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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