KERI WAGGONER (NPI# 1275060543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275060543 |
| Entity Type | Individual |
| Full Name | KERI WAGGONER |
| Credential | M.S CCC-SLP |
| Practice Address |
1400 Nw 122nd St Oklahoma City OK 73114-8027 |
| Mailing Address |
19921 Rondo Dr Edmond OK 73012-6558 |
| Practice Telephone | 4057513600 |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2017-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 4362 | OK | Speech, Language and Hearing Service Providers |
| Street Address |
1400 NW 122ND ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73114-8027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720289747 | Travis Dean Taylor | Physical Therapist | 1400 Nw 122nd St, Oklahoma City, OK 73114-8027 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124669783 | Heather Williams | Occupational Therapist | 1404 Nw122nd St, Oklahoma City, OK 73114 | 2019-10-04 |
| 1477194033 | Shonta Jones | Technician | 10723 Norh Western, Apartment G, Oklahoma City, OK 73114 | 2019-10-04 |
| 1023537644 | Tracye Carter | Registered Nurse | 812 Nw 121 Terr, Oklahom City, OK 73114 | 2017-09-14 |
| 1003362849 | Randy Joshua Williamson | Behavioral Analyst | 101 Bainbridge Rd, Oklahoma City, OK 73114 | 2016-08-31 |
| 1427413368 | John Adrian Howard | Physical Therapist | 13100 N Western Ave Ste 302, Oklahoma City, OK 73114 | 2015-12-18 |
| 1497150197 | Payam Ishani Afousi | Dentist | 9405 N. Penn Place, Casady Square, Oklahoma City, OK 73114 | 2014-10-24 |
| 1922407386 | Kelvin Hughes | Counselor | 1400 Nw 105th Ter, Oklahoma City, OK 73114 | 2014-08-21 |
| 1285056887 | Malarie Jackson | Nurse Practitioner | 609 W. Memorial Rd., Oklahoma City, OK 73114 | 2014-01-16 |
| 1508108705 | Adam Liberty | Community/Behavioral Health | 428 N.w 81st, Oklahoma City, OK 73114 | 2013-03-26 |
| 1780926345 | Michelle D Hardimon | Behavioral Analyst | 700 Ne 122nd Apt 4509, Oklahoma City, OK 73114 | 2013-03-21 |
| Find all providers in zip 73114 | ||||
| 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 |
|---|---|---|---|---|
| 1134735970 | Grace Marie Prieto | Speech-Language Pathologist | 505 E Sheridan Ave Apt 1126, Oklahoma City, OK 73104-6704 | 2020-09-17 |
| 1972118297 | Tammy Sanders | Speech-Language Pathologist | 10208 Berrywood Dr, Oklahoma City, OK 73151-4006 | 2020-09-14 |
| 1346854932 | Angela Lea Smith | Speech-Language Pathologist | 2222 Sw 44th St, Oklahoma City, OK 73119-3526 | 2020-09-01 |
| 1174133078 | Ashley Mcleod | Speech-Language Pathologist | 2211 S Midwest Blvd, Oklahoma City, OK 73110-5448 | 2020-08-05 |
| 1114559614 | Lulupi Planning | Speech-Language Pathologist | 4416 N Western Ave Ste 204, Oklahoma City, OK 73118-5256 | 2020-02-12 |
| 1700422599 | Katie Knapik | Speech-Language Pathologist | 2216 Persimmon Dr, Oklahoma City, OK 73120-2086 | 2019-11-27 |
| 1467096768 | Anne Michelle Powell Shafer | Speech-Language Pathologist | 12101 N Macarthur Blvd Ste 429, Oklahoma City, OK 73162-1800 | 2019-10-30 |
| 1164066585 | Deirdre Colleen Fudge | Speech-Language Pathologist | 3341 Nw 19th St, Oklahoma City, OK 73107-3827 | 2019-10-29 |
| 1346881190 | Adrian Trialon Whiting | Speech-Language Pathologist | 8801 S Olie Ave Ste 5, Oklahoma City, OK 73139-9362 | 2019-10-02 |
| 1790337566 | Lauren Miller | Speech-Language Pathologist | 14000 Bermuda Cir, Oklahoma City, OK 73170-5737 | 2019-07-11 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73114 |
Please comment or provide details below to improve the information on KERI 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.