Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124585641 Individual Practitioner Female Practitioner

Michelle Diane Waggoner , LPN

Licensed Practical Nurse • Dayton, OH

Professional Overview & Biography Verified Profile Summary

Michelle Waggoner, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Dayton, OH. Practice services are available at 8120 GARNET DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8120 Garnet Dr

Dayton, OH 454582141

Telephone 5138347063
Fax 5138731567
Associated Practice Facility / Clinic
🏢 Prime Health Medical Services Facility NPI 1124298443

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Dayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
655 Specialists

Practicing in Dayton, OH (13034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2019-12-20
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH LPN.130695.MEDS-IV

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Patricia Burns , APRN

Nurse Practitioner - Family

NPI 1003225327

Advanced Practice Registered Nurse

Jason Carmody

Counselor - Addiction (Substance Use Disorder)

NPI 1013414127
Megan Russell , LPCC, CADC

Counselor - Professional

NPI 1013469501

Licensed Professional Clinical Counselor, Certified Alcohol and Drug Counselor

Katrina Kanigoski , LCDCII

Counselor - Addiction (Substance Use Disorder)

NPI 1013469931
Cheryl Smith , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1023603644

Chemical Dependency Counselor Assistant

Amy Brewster , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1023772795

Chemical Dependency Counselor Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location December 20, 2019

Registered at 8120 GARNET DR, DAYTON, OH 454582141 (Tel: 5138347063)

📍
Updated Business Mailing Address December 20, 2019

Registered at 446 MORGAN ST, CINCINNATI, OH 452062348 (Tel: 5138347063)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2019

Licensed Practical Nurse (License #LPN.130695.MEDS-IV in OH)

NPI Profile Active February 21, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2019

Registered at 7 CLARK DR, DAYTON, OH 454311301 (Tel: 9375597629)

📍
Updated Business Mailing Address February 21, 2019

Registered at 7 CLARK DR, DAYTON, OH 454311301 (Tel: 9375597629)

👤
Provider Name / Credentials Updated February 21, 2019

Recorded as MICHELLE WAGGONER, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2019

Licensed Practical Nurse (License #130695 in OH)

🟢
Initial NPI Registration & Enumeration February 21, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Michelle Waggoner. Be the first to share your experience!

Sign in to leave a review for Michelle Waggoner

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1124585641
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2019
Last Update: December 20, 2019
Sole Proprietor: No

Mailing Address

446 Morgan St

Cincinnati, OH 452062348

Phone: 5138347063

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.