MRS. MICHELLE RENE WAGGONER (NPI# 1568684942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568684942 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE RENE WAGGONER |
| Credential | MS-CCC-SLP |
| Practice Address |
1401 Churchill St Waupaca WI 54981-2027 |
| Mailing Address |
8670 4th St Almond WI 54909-9027 |
| Practice Telephone | 7152588131 |
| Practice Fax Number | 7152580179 |
| Mailing Telephone | 7153662508 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2230-154 | WI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42796300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316091275 | Michelle K Waggoner | Chiropractor | 501 Ne Hood Ave, Ste 205, Gresham, OR 97030 | 2007-01-22 |
| 1124585641 | Michelle Diane Waggoner | Licensed Practical Nurse | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2019-02-21 |
| Street Address |
1401 CHURCHILL ST |
| City | WAUPACA |
| State | WI |
| Zip Code | 54981-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780757872 | Extendicare Homes, Inc. | Skilled Nursing Facility | 1401 Churchill St, Waupaca, WI 54981-2027 | 2006-11-16 |
| 1962978700 | Luke Casona Berdin | Physical Therapist | 1401 Churchill St, Waupaca, WI 54981-2027 | 2018-10-19 |
| 1619407392 | Jennifer Marie Kundinger | Physical Therapy Assistant | 1401 Churchill St, Waupaca, WI 54981-2027 | 2017-06-15 |
| 1619341344 | Amanda Cleary Pickart | Physical Therapist | 1401 Churchill St, Waupaca, WI 54981-2027 | 2015-11-18 |
| 1093108565 | Crossroads Care Center of Crystal River LLC | Skilled Nursing Facility | 1401 Churchill St, Waupaca, WI 54981-2027 | 2015-03-09 |
| 1336531177 | Kristin J Lueke | Occupational Therapy Assistant | 1401 Churchill St, Waupaca, WI 54981-2027 | 2015-03-03 |
| 1033511316 | Prostep Rehabilitation | Skilled Nursing Facility | 1401 Churchill St, Waupaca, WI 54981-2027 | 2014-09-18 |
| 1164784062 | Kasey Louise Tessar | Physical Therapist | 1401 Churchill St, Waupaca, WI 54981-2027 | 2012-06-15 |
| 1467729459 | Janet Leikip | Physical Therapy Assistant | 1401 Churchill St, Waupaca, WI 54981-2027 | 2011-11-19 |
| 1376859074 | Torri Yaeger | Physical Therapy Assistant | 1401 Churchill St, Waupaca, WI 54981-2027 | 2010-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366096141 | Renee Elizabeth Winn | Speech-Language Pathologist | 800 Riverside Drive Dr. 902 Building, Speech Therapy, Waupaca, WI 54981 | 2019-07-30 |
| 1891263216 | Stephanie Rice | Dental Hygienist | N4008 Morgan Dr, Waupaca, WI 54981 | 2018-11-03 |
| 1972092989 | Renew Physical Therapy and Wellness, LLC | Physical Therapist | N2919 County Road Qq, Waupaca, WI 54981 | 2018-05-04 |
| 1366942195 | Lanna Boyle | Physical Medicine & Rehabilitation | E1132 Hillcrest Dr, Waupaca, WI 54981 | 2018-02-19 |
| 1710333893 | Thedacare Medical Center - Waupaca, Inc. | General Acute Care Hospital | N2610 Wi 22, Waupaca, WI 54981 | 2016-05-09 |
| 1750743365 | Kimberly Marie Kraeger | Counselor | Waupaca County Dhhs, 811 Harding St, Waupaca, WI 54981 | 2016-03-23 |
| 1619211596 | Kari Anna Esbensen | Counselor | N2919 Cty Qq, Waupaca, WI 54981 | 2012-11-16 |
| 1396027629 | Roots Wholistic Health | Chiropractor | 717 Churchill St., Waupaca, WI 54981 | 2011-09-13 |
| 1629387006 | Barton Jerome Blum | General Practice | E1803 Melody Lane, Waupaca, WI 54981 | 2010-10-01 |
| 1710219357 | Anne Marie Collins-reed | Social Worker | 315 River Road, New London, WI 54981 | 2010-02-08 |
| Find all providers in zip 54981 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366096141 | Renee Elizabeth Winn | Speech-Language Pathologist | 800 Riverside Drive Dr. 902 Building, Speech Therapy, Waupaca, WI 54981 | 2019-07-30 |
| 1356790117 | Sara Elizabeth Babbitts | Speech-Language Pathologist | 1226 Berlin St, Waupaca, WI 54981-1991 | 2016-06-11 |
| 1629418249 | Jessica Kossel | Speech-Language Pathologist | 1226 Berlin St, Waupaca, WI 54981-1991 | 2013-06-27 |
| 1629345046 | Mary M Vodra | Speech-Language Pathologist | 1226 Berlin St, Waupaca, WI 54981-1991 | 2011-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427194 | Alana Catherine Sullivan | Speech-Language Pathologist | 25 N 25th Street E, Superior, WI 54880 | 2020-11-05 |
| 1659972982 | Patricia Theisen | Speech-Language Pathologist | 1515 Greenview Ave, Janesville, WI 53548-2800 | 2020-11-03 |
| 1487254108 | Samantha Lee Roberts | Speech-Language Pathologist | 3311 E Parkside Blvd Apt 125, Appleton, WI 54915-5631 | 2020-10-30 |
| 1134728751 | Mahwish Hashmi | Speech-Language Pathologist | 198 Caraway Pl, Sun Prairie, WI 53590-9537 | 2020-10-23 |
| 1891394508 | Lisa Kay Gaede | Speech-Language Pathologist | 424 River Dr, Black River Falls, WI 54615-9001 | 2020-10-22 |
| 1083213276 | Laura Swenson | Speech-Language Pathologist | 1922 State Road 87, Saint Croix Falls, WI 54024-7937 | 2020-10-20 |
| 1427656453 | Suzanne Q Hamilton | Speech-Language Pathologist | 2304 Hillcrest Dr, Janesville, WI 53545-4318 | 2020-10-12 |
| 1689272841 | Unbridled Abilities, LLC. | Speech-Language Pathologist | 1149 River Ridge Rd, River Falls, WI 54022-3412 | 2020-10-10 |
| 1104423490 | Tresa S Van Roo | Speech-Language Pathologist | W124 Us Highway 10, Mondovi, WI 54755-7837 | 2020-10-08 |
| 1538775531 | Haley Davidson | Speech-Language Pathologist | 960 S Rapids Rd # 4146, Manitowoc, WI 54220-4146 | 2020-09-16 |
| 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.