Nancy E Waggoner, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2907 Issued in AL

Practice address

635 McQueen Smith Rd N Ste D
Prattville, AL 36066-5663

Phone

(334) 358-6501

Fax

(334) 358-6521

NPI assigned

Aug 7, 2012

Last updated

Aug 7, 2012By 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

Credentials

Master of Science

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.

• Baptist Health

  • Hearing and Speech Clinic/Center
  • Prattville, AL
  • NPI 1942557723
  Authorized official Same address or phone

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1447507694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 MCQUEEN SMITH RD N STE D",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360665663",
            "telephone_number": "334-358-6501",
            "fax_number": "334-358-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 MCQUEEN SMITH RD N STE D",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360665663",
            "telephone_number": "334-358-6501",
            "fax_number": "334-358-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGGONER",
        "first_name": "NANCY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "2907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Craig Veach, D.M.D.
• Vein & Cosmetic Center of Prattville, LLC
• Cynthia Vieira
• Sara Grace Vinson
• Virtuhealth PLLC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0483)
• Wal-Mart Stores East, LP (Vision Center 30-0483)
• Walgreen Co (Rite Aid)
• Walgreen Co (Walgreens #06800)
• Corey Allen Walker, PT DPT

• Speech-Language Pathologist in Prattville, AL
• Providers in Prattville, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.