DEMI WAGGONER


Address: 1015 W Macon St, Carthage, MO 64836-2938
Phone: 4173597060

DEMI WAGGONER (NPI# 1679173793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679173793
Entity Type Individual
Full Name DEMI WAGGONER
Practice Address 1015 W Macon St
Carthage
MO 64836-2938
Practice Telephone 4173597060
Enumeration Date 2020-10-28
Last Update Date 2020-10-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers

Office Location

Street Address 1015 W MACON ST
City CARTHAGE
State MO
Zip Code 64836-2938

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NPI Name Taxonomy Address Enumeration
1043871908 Cura Personalis, (care for The Whole Person), LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 11650 Bobwhite Road, Carthage, MO 64836 2019-06-21
1477098531 Grace Theios, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6031 County Road 105, Carthage, MO 64836 2016-12-28
1386095255 Ozark Tri County Healthcare Consortium Dentist 215 E 3rd Street, Carthage, MO 64836 2016-06-22
1861668972 Allison D. O'dell Social Worker 2411 Fairlawn Drive, Carthage, MO 64836 2008-05-08
1619142064 Earl L Kirn Social Worker 2411 Fairlawn Ave, Carthage, MO 64836 2008-04-28
1235283912 Mark F Saladin Dentist 1604 Missouri Avenue, Carthage, MO 64836 2007-01-22
1962570465 Carthage Counseling LLC Community/Behavioral Health 2411 Fairlawn Dr, Carthage, MO 64836 2006-12-01
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1356437180 Jannette Eldred Social Worker 1500 South Case Steet, Carthage, MO 64836 2006-10-05
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477035988 Jessica Rae Derrick Speech-Language Pathologist 853 County Road 490, Carthage, TX 75633-3304 2018-08-30
1811498256 Valerie Ross Barron Speech-Language Pathologist 806 Beverly Dr, Carthage, TX 75633-1323 2018-02-21
1235654831 Leah Victoria Newton Speech-Language Pathologist 600 Miller St, Carthage, IL 62321-1129 2017-08-04
1588038814 Charissa Lock Speech-Language Pathologist 652 County Road 180, Carthage, MO 64836-7625 2015-11-24
1285986554 Summer V Martinez Speech-Language Pathologist 1249 County Road 184, Carthage, TX 75633-5324 2012-10-10
1124303524 Cheryl B Cole Speech-Language Pathologist 25059 County Route 197, Carthage Central School, Carthage, NY 13619-9597 2011-10-17
1386809606 Shirley Arnon Handford Speech-Language Pathologist 705 Old Canton Rd, Carthage, MS 39051-4081 2008-07-25
1558483628 Kiley Kyte Speech-Language Pathologist 1435 S Main St, Carthage, MO 64836-2717 2007-04-06
1215061668 Michelle Lynn Hitz Speech-Language Pathologist 210 S Adams St, Carthage, IL 62321-1420 2007-03-16
1285776443 Leia Tate Hooker Speech-Language Pathologist 216 Union Church Rd, Carthage, NC 28327-0224 2007-02-13
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Competitor

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City CARTHAGE
Zip Code 64836

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Dataset Information

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.

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