Lloyd Denton Waggener, M.S.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

1424 Issued in MO

Practice address

1166 NE Douglas St
Lees Summit, MO 64086-4602

Phone

(816) 524-8018

Fax

(816) 524-8049

NPI assigned

Jun 12, 2008

Last updated

Jun 12, 2008By the provider in NPPES

Sex

Male

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)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mid America Balance Institute of Cass County Missouri

  dba MABI of Cass County

  • Respiratory/Developmental/Rehabilitative Specialist/Technologist
  • Belton, MO
  • NPI 1902050511
  NPD (past)
• Mid America Balance Institute of Clay Platte County Missouri

  dba MABI of Clay Platte

  • Respiratory/Developmental/Rehabilitative Specialist/Technologist
  • Kansas City, MO
  • NPI 1982858593
  NPD (past)
• Spine and Extremity Rehabilitation Center of Raytown Inc

  dba SERC of Raytown; SERC of South Raytown; SERC of Belton

  • Physical Therapist
  • Raytown, MO
  • NPI 1568410165
  NPD (past)

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1306006390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 NE DOUGLAS ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864602",
            "telephone_number": "816-524-8018",
            "fax_number": "816-524-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 NE DOUGLAS ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864602",
            "telephone_number": "816-524-8018",
            "fax_number": "816-524-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGGENER",
        "first_name": "LLOYD",
        "middle_name": "DENTON",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MO",
            "license": "1424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Vitt, RN, BSN, CPNP
• Mary Ann Von Bohland-Rau, PT
• Annalese Sara Von Gremp, HIS
• Gabrielle Voyles, CIT
• Mary Wachai, CNP
• Penny Waggener, RPT
• Austin J Wagner, D.O.
• Karen Schiess Wagner, PH D
• Amanda G Wait, D.O.
• Wal-Mart Stores East LP (Walmart Pharmacy 10-4590)

• Audiologist-Hearing Aid Fitter in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Audiologist-Hearing Aid Fitter in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.