LACY JAYE WAGGONER (NPI# 1619482015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619482015 |
| Entity Type | Individual |
| Full Name | LACY JAYE WAGGONER |
| Credential | LMT |
| Practice Address |
601 E Nodaway St Oregon MO 64473-9602 |
| Mailing Address |
200 Oakland St Oregon MO 64473-9200 |
| Practice Telephone | 6605720433 |
| Mailing Telephone | 6604462650 |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 2013033098 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
601 E NODAWAY ST |
| City | OREGON |
| State | MO |
| Zip Code | 64473-9602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487138194 | Amanda Kurtz | Nurse Practitioner | 601 E Nodaway St, Oregon, MO 64473-9602 | 2018-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255703500 | Community Hospital Association | Clinic/Center | 101 South Washington Street, Oregon, MO 64473 | 2015-10-27 |
| 1457496481 | Community Medical Center, Inc. | Family Medicine | 101 So. Washington St., Oregon, MO 64473 | 2007-02-20 |
| 1013940154 | Tiffany Care Centers, Inc | Skilled Nursing Facility | 501 S. Monroe St., Box 19, Oregon, MO 64473-0019 | 2006-07-09 |
| 1962592196 | County of Holt | Public Health or Welfare | 108 South Main St., Oregon, MO 64473-0438 | 2006-10-16 |
| 1770606907 | South Holt R1 | Local Education Agency (LEA) | 201 S Barbour St, Oregon, MO 64473-8155 | 2007-04-10 |
| 1588861926 | Jeffrey Dean Cotton | Counselor | 505 S Washington St, Oregon, MO 64473-9655 | 2007-06-29 |
| 1093751778 | Kathleen M Davis | Nurse Practitioner | 401 East Nodaway, Oregon, MO 64473-9689 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001305 | Brenda Sande | Registered Nurse | 660 S Woods Edge Dr, Oregon, WI 53575-3442 | 2020-10-17 |
| 1619574514 | Marie Claire Lapointe | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 108 N Berlin Ave, Oregon, OH 43616-1600 | 2020-10-04 |
| 1235746827 | Joan Price | Homemaker | 3234 Wick Dr, Oregon, OH 43616-1728 | 2020-09-28 |
| 1528675402 | Emma Reardon-meach | Home Health | 1143 Mambrino Rd, Oregon, OH 43616-3144 | 2020-09-25 |
| 1952917585 | Neeny Holdings, Inc. | Technician | 109 Prairie Grass Rd, Oregon, WI 53575-3948 | 2020-09-18 |
| 1114537446 | Rebecca Ann Burton | Registered Nurse | 6195 Purcell Rd, Oregon, WI 53575-1727 | 2020-08-02 |
| 1356959670 | Roblyn Skibinski | Nurse Practitioner | 2702 Navarre Ave Ste 310, Oregon, OH 43616-3224 | 2020-07-22 |
| 1699383828 | Claire Michelle Martins | Physical Therapist | 206 Bergamont Blvd Apt 202, Oregon, WI 53575-3956 | 2020-07-14 |
| 1770106023 | Bonnie Buschke | Social Worker | 481 Medinah St, Oregon, WI 53575-3875 | 2020-05-21 |
| 1023637477 | Josh Bohn | Emergency Medicine | 3225 Pickle Rd, Oregon, OH 43616-4026 | 2020-04-15 |
| Find all providers in OREGON | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952937385 | H&m Open Arms Massage Studio LLC | Massage Therapist | 2300 Navarre Ave Ste 204, Oregon, OH 43616-3178 | 2020-03-17 |
| 1265779284 | Kathleen C Pollauf | Massage Therapist | 2665 Navarre Ave, Suite A, Oregon, OH 43616 | 2013-01-10 |
| 1508463167 | Ashley Knight Disrud | Massage Therapist | 120 N Main St, Oregon, WI 53575-1405 | 2020-10-07 |
| 1477160406 | Annette Bussell | Massage Therapist | 2300 Navarre Ave Ste 204, Oregon, OH 43616-3178 | 2020-09-24 |
| 1104436013 | Kendra Shellhammer | Massage Therapist | 2300 Navarre Ave Ste 204, Oregon, OH 43616-3178 | 2020-08-05 |
| 1245840479 | Paige S Wiederhold | Massage Therapist | 2300 Navarre Ave Ste 204, Oregon, OH 43616-3178 | 2020-08-03 |
| 1447888623 | Ashley J Hirzel | Massage Therapist | 2300 Navarre Ave Ste 204, Oregon, OH 43616-3178 | 2020-04-01 |
| 1831599638 | Melisa Sikkema | Massage Therapist | 101 N 4th St, Oregon, IL 61061-1430 | 2014-08-28 |
| 1255451696 | Jessica Lynn Schira | Massage Therapist | 4016 Navarre Ave, Oregon, OH 43616-3440 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982211 | Evan Coonrod | Massage Therapist | 239 Steamboat Ln, Ballwin, MO 63011-3203 | 2020-11-02 |
| 1215537915 | Joseph Terry | Massage Therapist | 391 Chalmette Dr, Hazelwood, MO 63042-3532 | 2020-10-30 |
| 1043819642 | Ashley Chanele Ball | Massage Therapist | 959 W 42nd St Apt 201, Kansas City, MO 64111-4058 | 2020-10-23 |
| 1619576303 | Robert Wayne Fuller Jr. | Massage Therapist | 7211 Nw 83rd St Ste 207d, Kansas City, MO 64152-6022 | 2020-10-22 |
| 1346848991 | James Allen Brooks | Massage Therapist | 6436 Chippewa St, Saint Louis, MO 63109-2106 | 2020-10-15 |
| 1265030845 | Rhonda Kay Newton | Massage Therapist | 22768 Mo-39 Suite B, Aurora, MO 65605 | 2020-10-15 |
| 1841898798 | Justin Eric Mcmiller | Massage Therapist | 1255 Swallow Ln, Florissant, MO 63031-3326 | 2020-10-13 |
| 1982201471 | Kendra Wright | Massage Therapist | 115 W 99th Ter Apt 206, Kansas City, MO 64114-4330 | 2020-10-07 |
| 1447857651 | Sara E Sobery | Massage Therapist | 5 Carpenter Dr, Saint Peters, MO 63376-1925 | 2020-10-01 |
| 1801403167 | Kevin Phillip Cude | Massage Therapist | 35 Oxbow Rd, Saint Peters, MO 63376-1556 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LACY JAYE WAGGONER.
| 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.