WAGONER LLC (NPI# 1073163713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073163713 |
| Entity Type | Organization |
| Organization Name | WAGONER LLC |
| Practice Address |
4660 Kenmore Ave Ste 409 Alexandria VA 22304-1306 |
| Practice Telephone | 7038233336 |
| Practice Fax Number | 7038234684 |
| Mailing Telephone | 7038233336 |
| Mailing Fax Number | 7038234684 |
| Enumeration Date | 2019-09-15 |
| Last Update Date | 2019-09-15 |
| Authorized Official Name | JULIE K WAGONER (OWNER/AUD) |
| Authorized Official Telephone | 7038233336 |
| Authorized Official Credential | AUD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237600000X | Audiologist-Hearing Aid Fitter | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| Alexandria Audiology | Doing Business As Name - Organization |
| Street Address |
4660 KENMORE AVE STE 409 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22304-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489768 | Anthony Michael Frato | Counselor | 205 S Whiting St #601, Alexandria, VA 22304 | 2020-02-14 |
| 1245885805 | Personal Touch Personal Care Providers, LLC | In Home Supportive Care | 4241-d8 Duke Street, Alexandria, VA 22304 | 2019-08-09 |
| 1336658772 | Jade F. Hillery | Doula | 5240 Duke St #310, Alexandria, VA 22304 | 2017-09-28 |
| 1447784731 | Aymara Matos | Behavioral Analyst | 5426 Richenbacher Ave Apt 100, Alexandria, VA 22304 | 2017-04-13 |
| 1659827871 | Tesfaye A Hailemariam Dds PC | Dentist | 5764 Dow Ave, Alexandria, VA 22304 | 2016-08-28 |
| 1912302605 | Alexandria Health Department | Clinic/Center | 1200 North Howard, Alexandria, VA 22304 | 2014-10-24 |
| 1497157663 | Aminata Jalloh | Registered Nurse | 101 South Whiting St, Alexandria, VA 22304 | 2014-09-19 |
| 1386075133 | Carla Renee Riley | Registered Nurse | 4320 Raleigh Ave, Apt 204, Alexandria, VA 22304 | 2013-12-04 |
| 1700223500 | Landmark Dental Care | Dentist | 101 S. Whiting St., Suite 100, Alexandria, VA 22304 | 2013-06-03 |
| 1114266954 | Stella M Meusch | Physician Assistant | 4230 Seminary Rd, Alexandria, VA 22304 | 2013-02-13 |
| Find all providers in zip 22304 | ||||
| Taxonomy Code | 237600000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist-Hearing Aid Fitter |
| An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual’s hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists". |
| Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275714388 | Terry L. Roberts | Audiologist-Hearing Aid Fitter | 4007 Parliament Dr, Alexandria, LA 71303-3018 | 2007-11-16 |
| 1275547655 | Alexandria Audiology Services & Discount Hearing Aids, Inc. | Audiologist-Hearing Aid Fitter | 1605 Murray St, Suite 202, Alexandria, LA 71301-6890 | 2006-07-28 |
| 1861046971 | Douglas County Hospital | Audiologist-Hearing Aid Fitter | 111 17th Ave E Ste 1, Alexandria, MN 56308-5273 | 2019-07-26 |
| 1457853111 | Cvs Aoc Services, L.L.C. | Audiologist-Hearing Aid Fitter | 1636 Belle View Blvd, Alexandria, VA 22307 | 2018-03-08 |
| 1598271678 | Susan Wallace Sayer | Audiologist-Hearing Aid Fitter | 4508 Coliseum Blvd Ste O, Alexandria, LA 71303-3564 | 2017-12-27 |
| 1649649864 | Ann Hinds | Audiologist-Hearing Aid Fitter | 6355 Walker Ln, Suite 411, Alexandria, VA 22310-3245 | 2015-09-17 |
| 1760821268 | Jessica Vaughn | Audiologist-Hearing Aid Fitter | 2108 Texas Ave, Suite 3061, Alexandria, LA 71301-3944 | 2013-06-18 |
| 1740565845 | Julie Kristen Wagoner | Audiologist-Hearing Aid Fitter | 6355 Walker Ln, Suite 411, Alexandria, VA 22310-3245 | 2011-10-20 |
| 1902188840 | Sarah Michelle Johnson | Audiologist-Hearing Aid Fitter | 221 Windermere Blvd, Alexandria, LA 71303-3538 | 2011-09-16 |
| 1417265448 | Alexandria Audiology LLC | Audiologist-Hearing Aid Fitter | 4660 Kenmore Ave, Alexandria, VA 22304-1313 | 2010-09-24 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22304 |
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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.