Madison Wagoner

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA14239 Issued in AZ

Practice address

16356 N Thompson Peak Pkwy Apt 1077
Scottsdale, AZ 85260-2103

Phone

(760) 683-4878

NPI assigned

Dec 20, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1184336349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16356 N THOMPSON PEAK PKWY APT 1077",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602103",
            "telephone_number": "760-683-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16356 N THOMPSON PEAK PKWY APT 1077",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602103",
            "telephone_number": "760-683-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGONER",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA14239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/a",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N/a",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/a",
            "address_1": "16356 N Thompson Peak Pkwy Apt 1077",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852602103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Barrie Rachele Wagner, PSY. D.
• Brett Matthew Wagner, DC
• Kellie Wagner, LAC
• Madison Wagner, DC
• Sophie Wagner, RBT
• Mona Waheed, IBCLC
• Peyton Wahl
• Wahlstrom Surgical Arts
• Devin Wahlstrom
• Phyllis Waigwa, RN

• Speech-Language Assistant in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.