Active NPI
Kristen Nicole Waggoner, AUD
- Audiologist
- Knoxville, TN
National Provider Identifier
1396223608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1836
- Practice address
- 8109 Beaver Ridge Road
Karns Annex Building a
Knoxville, TN 37931 - Phone
- (865) 539-3045
- Fax
- (865) 539-3039
- NPI assigned
- Jul 31, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1836 | TN | Primary |
Addresses
Primary practice location
8109 Beaver Ridge Road
Karns Annex Building a
Knoxville, TN 37931
Mailing address
8109 Beaver Ridge Road
Karns Annex Building a
Knoxville, TN 37931
Phone (865) 539-3045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1836 | TN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1396223608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8109 BEAVER RIDGE ROAD",
"address_2": "KARNS ANNEX BUILDING A",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37931",
"telephone_number": "865-539-3045",
"fax_number": "865-539-3039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8109 BEAVER RIDGE ROAD",
"address_2": "KARNS ANNEX BUILDING A",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37931",
"telephone_number": "865-539-3045",
"fax_number": "865-539-3039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGGONER",
"first_name": "KRISTEN",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-31",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TN",
"license": "1836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.