ANGELA WAGGONER (NPI# 1669830469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669830469 |
| Entity Type | Individual |
| Full Name | ANGELA WAGGONER |
| Practice Address |
3600 13th St Baker City OR 97814-1346 |
| Practice Telephone | 5415236680 |
| Mailing Telephone | 5415236680 |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659794451 | Angela Waggoner | Nurse Practitioner | 2560 State Highway 96, Ste. B, League City, TX 77573 | 2014-01-29 |
| 1407217060 | Angela Waggoner | Registered Nurse | 128 Market St, Alamosa, CO 81101-2290 | 2016-03-10 |
| 1194060434 | Angela K Waggoner | Counselor | 2601 Pasadena Blvd, Pasadena, TX 77502 | 2012-11-27 |
| 1700066982 | Angela M Waggoner | Social Worker | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2007-11-06 |
| Street Address |
3600 13TH ST |
| City | BAKER CITY |
| State | OR |
| Zip Code | 97814-1346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073971008 | Dennis Walton | Counselor | 3600 13th St, Baker City, OR 97814-1346 | 2016-02-04 |
| 1861918211 | Jason Riley | Counselor | 3600 13th St, Baker City, OR 97814-1346 | 2017-08-17 |
| 1255791042 | Pixie Mcknight | Counselor | 3600 13th St, Baker City, OR 97814-1346 | 2016-03-07 |
| 1760842132 | Kristian Brown | Counselor | 3600 13th St, Baker City, OR 97814-1346 | 2016-02-29 |
| 1386003127 | Debbra Kellogg | Counselor | 3600 13th St, Baker City, OR 97814-1346 | 2016-02-22 |
| 1508224304 | Ashley Gleckner | Counselor | 3600 13th St, Baker City, OR 97814-1346 | 2016-02-08 |
| 1457719254 | Amanda Bork | Counselor | 3600 13th St, Baker City, OR 97814-1346 | 2016-02-08 |
| 1578921367 | Anthony Washington | Counselor | 3600 13th St, Baker City, OR 97814-1346 | 2016-02-08 |
| 1518325323 | Donald Endicott | Counselor | 3600 13th St, Baker City, OR 97814-1346 | 2016-02-08 |
| 1790143584 | Tracy Trump | Counselor | 3600 13th St, Baker City, OR 97814-1346 | 2016-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279871 | Charles Henry Campos | Counselor | 2021 Court Street, Baker City, OR 97814 | 2019-05-07 |
| 1831546217 | Veronica Crowder | Physician Assistant | Samg Orthopedics Baker City, 3325 Pocahontas Rd, Baker City, OR 97814 | 2016-05-16 |
| 1013389956 | Dara Michelle Fields | Counselor | 2200 4th Street, Baker City, OR 97814 | 2015-10-29 |
| 1003223694 | Colleen Davenport | Nurse Practitioner | 3975 N Midway Dr, Baker City, OR 97814 | 2014-07-16 |
| 1629418363 | Sherry Melena Zacharias Forsyth | Counselor | 2100 Main St., New Directions, Baker City, OR 97814 | 2013-06-26 |
| 1609215573 | Logan Clay Frederickson | Family Medicine | 3820 17th Street, Baker City, OR 97814 | 2013-06-24 |
| 1790124485 | James Lee Morris | Counselor | 3610 Midway, Baker City, OR 97814 | 2013-06-17 |
| 1881955656 | New Directions Northwest, Inc | Substance Abuse Rehabilitation Facility | 3610 Midway Drive, Baker City, OR 97814 | 2012-06-07 |
| 1972864759 | New Directions Northwest, Inc. | Substance Abuse Rehabilitation Facility | 3700 Midway Drive, Baker City, OR 97814 | 2012-06-07 |
| 1659671113 | Al H Brickman | Pharmacist | 1205 Campbell St., Baker City, OR 97814 | 2010-10-29 |
| Find all providers in zip 97814 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279871 | Charles Henry Campos | Counselor | 2021 Court Street, Baker City, OR 97814 | 2019-05-07 |
| 1417499013 | Aubreyanna M Henshaw | Counselor | 3425 13th St, Baker City, OR 97814-1340 | 2016-11-14 |
| 1073971008 | Dennis Walton | Counselor | 3600 13th St, Baker City, OR 97814-1346 | 2016-02-04 |
| 1629418363 | Sherry Melena Zacharias Forsyth | Counselor | 2100 Main St., New Directions, Baker City, OR 97814 | 2013-06-26 |
| 1790124485 | James Lee Morris | Counselor | 3610 Midway, Baker City, OR 97814 | 2013-06-17 |
| 1346547510 | James Cornelius | Counselor | 2013 1st St, Baker City, OR 97814-3339 | 2011-02-23 |
| 1629121710 | Robin J White | Counselor | 3700 Midway Dr, Baker City, OR 97814-1456 | 2007-01-19 |
| 1265051726 | Mae Lynn Corwin | Counselor | 3975 Midway Drive, Baker City, OR 97814 | 2020-04-14 |
| 1922631399 | Patrick R Esposito | Counselor | 3700 Midway Dr, Baker City, OR 97814-1456 | 2020-02-13 |
| 1962982181 | Frank Spear | Counselor | 3700 Midway Dr, Baker City, OR 97814-1456 | 2018-08-16 |
| Find all providers in BAKER CITY | ||||
| City | BAKER CITY |
| Zip Code | 97814 |
Please comment or provide details below to improve the information on ANGELA 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.