DR. KAYLA ELLEN WAGONER (NPI# 1801229893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801229893 |
| Entity Type | Individual |
| Full Name | DR. KAYLA ELLEN WAGONER |
| Other Name | KAYLA ELLEN ROYER |
| Credential | D.C. |
| Practice Address |
454 Rolling Ridge Dr Suite 4 State College PA 16801-7696 |
| Practice Telephone | 8149544182 |
| Mailing Telephone | 8149544182 |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2014-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC010874 | PA | Chiropractic Providers |
| Street Address |
454 ROLLING RIDGE DR SUITE 4 |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16801-7696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881743110 | Carol Lynee Skinner | Psychologist | 454 Rolling Ridge Dr, State College, PA 16801-7696 | 2007-01-09 |
| 1932578911 | Julie A. Pelletier, P.C. | Psychologist | 454 Rolling Ridge Dr, State College, PA 16801-7696 | 2015-09-18 |
| 1700265295 | Wagoner Chiropractic Inc | Chiropractor | 454 Rolling Ridge Dr, Suite 4, State College, PA 16801-7696 | 2015-05-29 |
| 1952709693 | Jay Frederick Wagoner | Chiropractor | 454 Rolling Ridge Dr, Suite 4, State College, PA 16801-7696 | 2014-12-11 |
| 1730409079 | Kristen Elizabeth Smith-simon | Psychologist | 454 Rolling Ridge Dr, State College, PA 16801-7696 | 2010-06-09 |
| 1427265164 | Midstep Centers for Child Development, PC | Psychologist | 454 Rolling Ridge Dr, State College, PA 16801-7696 | 2007-05-16 |
| 1316151228 | Emily Brown Werner | Psychologist | 454 Rolling Ridge Dr, State College, PA 16801-7696 | 2007-05-09 |
| 1427270115 | H. Peter Montminy | Psychologist | 454 Rolling Ridge Dr, State College, PA 16801-7696 | 2007-05-03 |
| 1295868347 | Rachel Foster Love | Psychologist | 454 Rolling Ridge Dr, State College, PA 16801-7696 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851880975 | Creative Reflections Counseling, LLC | Counselor | 315 S Allen St Ste 124b, State College, PA 16801 | 2018-05-03 |
| 1679097901 | Michelle L Grove | Home Health Aide | 2100 E College Ave Ste B, State College, PA 16801 | 2017-07-28 |
| 1740702034 | Matthew Ishler | Counselor | 315 S. Allen Street Ste 326, State College, PA 16801 | 2017-07-09 |
| 1699206300 | Emily Lauer | Specialist/Technologist | 102a Multisport Indoor Facility, State College, PA 16801 | 2017-03-23 |
| 1740721075 | Luk Devorski | Student in an Organized Health Care Education/Training Program | Rec Hall University Park, Penn State University, State College, PA 16801 | 2017-03-20 |
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1740685858 | Mallory L. Miller | Physician Assistant | 100 Radnor Rd Ste 101, State College, PA 16801 | 2014-10-31 |
| 1386053981 | Christopher Hippenmeyer | Specialist/Technologist | 102a East Area Locker Building, Pennsylvania State University, University Park, PA 16801 | 2014-08-07 |
| 1982022059 | Christy Sharer | Counselor | 301 S Allen St Ste 106, State College, PA 16801 | 2014-04-04 |
| 1912250523 | Eva M Letwin | Counselor | 2011 Cato Ave Ste 201, State College, PA 16801 | 2012-10-19 |
| Find all providers in zip 16801 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029718 | Power Forward Chiropractic LLC | Chiropractor | 138 W Whitehall Rd, State College, PA 16801-5931 | 2020-09-27 |
| 1881232056 | Backcountry Spine and Sport | Chiropractor | 270 Walker Dr Ste 100w, State College, PA 16801-7097 | 2019-12-18 |
| 1982247375 | Molly Katherine Love | Chiropractor | 611 University Dr Ste 214, State College, PA 16801-6552 | 2019-10-18 |
| 1548625676 | Brummert Family Chiropractic, LLC | Chiropractor | 3051 Enterprise Dr, State College, PA 16801-2756 | 2015-12-16 |
| 1396166369 | Matthew Reyes | Chiropractor | 125 Rolling Ridge Dr, State College, PA 16801-7675 | 2013-12-18 |
| 1245588946 | Phoenix Rehabilitation and Health Services, Inc. | Chiropractor | 1700 Old Gatesburg Road, Suite 210, State College, PA 16803 | 2012-08-28 |
| 1821394701 | Sustus, LLC | Chiropractor | 251 Easterly Pkwy, Bldg 2, State College, PA 16801-6301 | 2011-02-10 |
| 1619108610 | Integrative Health Care Associates | Chiropractor | 1315 W College Ave Ste 200, State College, PA 16801-2776 | 2009-08-07 |
| 1326284704 | Kelly Rene Capers | Chiropractor | 2603 E College Ave Ste B, State College, PA 16801-7542 | 2009-01-06 |
| 1720269095 | Casteel Chiropractic of State College, P.C. | Chiropractor | 129 Moses Thompson Ln, State College, PA 16801-6840 | 2007-11-15 |
| Find all providers in STATE COLLEGE | ||||
| City | STATE COLLEGE |
| Zip Code | 16801 |
Please comment or provide details below to improve the information on DR. KAYLA ELLEN WAGONER.
| 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.