Dareth Lynn Waguespack

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTT.Z12147 Issued in LA

Practice address

821 N Burnside Ave
Gonzales, LA 70737-2835

Phone

(225) 939-7205

Fax

(225) 647-9503

NPI assigned

Apr 24, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Williamson Therapy and Learning Center

  • Speech-Language Pathologist
  • Gonzales, LA
  • NPI 1033609094
  NPD (past)

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1295355642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13058 L LANDRY RD",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376001",
            "telephone_number": "225-715-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N BURNSIDE AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372835",
            "telephone_number": "225-939-7205",
            "fax_number": "225-647-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGUESPACK",
        "first_name": "DARETH",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT.Z12147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Viti
• David Frank Vogt, LCSW
• Harriette Raysheen Wade, MS, LPC
• Angelle Waguespack, OT
• Ashley Waguespack
• Wal-Mart Stores East LP
• Wal-Mart Stores Louisiana, LLC
• Walgreen Co
• Walgreen Co
• Walgreen Co

• Occupational Therapist in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.