Michelle Wagner

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

17732 Highland Rd Ste G254
Baton Rouge, LA 70810-3846

Phone

(225) 910-5014

NPI assigned

Nov 14, 2018

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": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1578032066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17732 HIGHLAND RD STE G254",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708103846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17732 HIGHLAND RD STE G254",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708103846",
            "telephone_number": "225-910-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Waggoner
• Brittany Wagner, D.O.
• Emily Lanier Wagner, PA
• Haley Nicole Wagner
• Leigh Wagner
• Ann M Waguespack, RDMS
• Ceci Waguespack, LCSW
• Celeste Morales Waguespack, NP
• Eric M. Waguespack, MD
• Leslie B. Waguespack, PA-C

• Speech-Language Pathologist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.