CHRISTIAN ONEAL WAGGONER (NPI# 1477107126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477107126 |
| Entity Type | Individual |
| Full Name | CHRISTIAN ONEAL WAGGONER |
| Credential | YPSS CERTIFED |
| Practice Address |
1620 Kentucky Ave Paducah KY 42003-2851 |
| Mailing Address |
425 Broadway St Ste 201 Paducah KY 42001-0713 |
| Practice Telephone | 2704427121 |
| Practice Fax Number | 2704439692 |
| Mailing Telephone | 2704427121 |
| Mailing Fax Number | 2704439692 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1620 KENTUCKY AVE |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-2851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| 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 |
|---|---|---|---|---|
| 1134689094 | Emily Breann Belt | Counselor | 425 Broadway St Ste 101, Paducah, KY 42001-0713 | 2019-03-25 |
| 1316218886 | Sarah J Smith | Counselor | 4338 Sunset Ave, Paducah, KY 42001-4872 | 2012-01-15 |
| 1760033542 | Olivia Marie Warren | Counselor | 425 Broadway St, Paducah, KY 42001-0713 | 2019-09-24 |
| 1366090086 | Sandra Taul Davis | Counselor | 425 Broadway St, Paducah, KY 42001-0713 | 2019-08-27 |
| 1326606559 | Emma Caroline Mattingly | Counselor | 3229 Coleman Rd, Paducah, KY 42001-6563 | 2019-06-03 |
| 1831653369 | Sara Rebecca Black | Counselor | 425 Broadway St, Paducah, KY 42001-0713 | 2019-01-29 |
| 1669974770 | Amber Leigh Edwards | Counselor | 4001 Hansen Rd, Paducah, KY 42001-9784 | 2018-03-05 |
| 1326547092 | John Haase | Counselor | 425 Broadway St, Paducah, KY 42001-0713 | 2018-02-07 |
| 1437549532 | Adam Neil Currence | Counselor | 425 Broadway St, Paducah, KY 42001-0713 | 2015-01-27 |
| 1861815805 | Amanda Lee Ann Mcintosh | Counselor | 425 Broadway St, Paducah, KY 42001-0713 | 2014-01-28 |
| Find all providers in PADUCAH | ||||
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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.