Valerie Brook Waggoner, SCM, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

700 E Morehead St Ste 300
Charlotte, NC 28202-2742

Phone

(704) 362-7071

Fax

(047) 414-7512

NPI assigned

Dec 8, 2005

Last updated

Apr 3, 2019By the provider in NPPES

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

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1447235957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022742",
            "telephone_number": "704-362-7071",
            "fax_number": "704-414-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022742",
            "telephone_number": "704-362-7071",
            "fax_number": "047-414-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGGONER",
        "first_name": "VALERIE",
        "middle_name": "BROOK",
        "name_prefix": "Ms.",
        "credential": "SCM, CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-08",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammie Denise Wade, LPC, CRC
• Supneet Singh Wadhwa, DDS
• William Justin Wadsworth, MA, LPC-A, NCC
• Emmala Ryan Waduge, FNP
• Hannah Louise Kriskie Wagers, MA LCMHC
• Ashley Morgan Wagner, PA
• Emily Wagner, LMFT
• Emily Katherine Wagner, PA-C
• Erin Leslie Wagner, DO
• Heather Wagner, MS CCC-SLP

• Genetic Counselor (M.S.) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Genetic Counselor (M.S.) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.