MRS. KIMBERLY SUE WAGGY (NPI# 1588815732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588815732 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY SUE WAGGY |
| Credential | MA;EDS |
| Practice Address |
408 Eb Saunders Way Clarksburg WV 26301 |
| Mailing Address |
Po Box 1370 Clarksburg WV 26302-1370 |
| Practice Telephone | 3046246554 |
| Practice Fax Number | 3046245223 |
| Mailing Telephone | 3046246554 |
| Mailing Fax Number | 3046245223 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
1304 | WV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810013188 | 05 |
| Street Address |
408 EB SAUNDERS WAY |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497122261 | Krista Wilkins | Speech-Language Pathologist | 408 Eb Saunders Way, Clarksburg, WV 26301-3712 | 2015-08-28 |
| 1548640725 | Jessica Chadwick | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301-3712 | 2015-06-03 |
| 1497004618 | Jessica Jean Schrock | Speech-Language Pathologist | 408 Eb Saunders Way, Clarksburg, WV 26301-3712 | 2012-09-04 |
| 1316256126 | Sara Elizabeth Garrett | Speech-Language Pathologist | 408 Eb Saunders Way, Clarksburg, WV 26301-3712 | 2010-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
| 1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
| 1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
| 1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
| 1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
| 1083803498 | Stephen Boyd Broughton | Dentist | 117 1/2 Nicholas St, Clarksburg, WV 26301 | 2007-10-22 |
| Find all providers in zip 26301 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154690758 | Kelly M. Vallango | Psychologist | 48 Eb Saunders Way, Clarksburg, WV 26302-1370 | 2011-12-28 |
| 1942816483 | Emily Nestor | Psychologist | 445 W Main St, Clarksburg, WV 26301-2843 | 2020-09-21 |
| 1548640725 | Jessica Chadwick | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301-3712 | 2015-06-03 |
| 1386070092 | Lee Ann Vecellio | Psychologist | 1201 N 15th St, Clarksburg, WV 26301-1989 | 2013-09-26 |
| 1417221482 | Susan Ann Miller | Psychologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2012-03-08 |
| 1316222011 | Andrew Joseph Woolwine | Psychologist | 1201 N 15th St, Clarksburg, WV 26301-1989 | 2011-10-14 |
| 1306017322 | Kristen K Majewski | Psychologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2008-03-18 |
| 1477724714 | Jill C Deicas | Psychologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2008-03-14 |
| 1023287463 | Debra Sue Henderson | Psychologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2008-02-28 |
| 1578732012 | Debra Ann Davis | Psychologist | 408 E B Saunders Way, Clarksburg, WV 26301-3712 | 2008-02-28 |
| Find all providers in CLARKSBURG | ||||
| City | CLARKSBURG |
| Zip Code | 26301 |
Please comment or provide details below to improve the information on MRS. KIMBERLY SUE WAGGY.
| 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.