| Keri Waggoner, MS CCC-SLP | |
|
1400 Nw 122nd St, Oklahoma City, OK 73114-8027 | |
| (405) 751-3600 | |
| Not Available |
| Full Name | Keri Waggoner |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1400 Nw 122nd St, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275060543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 4362 (Oklahoma) | Primary |
| Provider Name | Empowerme Rehabilitation Oklahoma Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1023514247 PECOS PAC ID: 5496088296 Enrollment ID: O20190611000701 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366024077 PECOS PAC ID: 9830504836 Enrollment ID: O20210723000217 |
| Mailing Address | Practice Location Address |
|---|---|
| Keri Waggoner, MS CCC-SLP 19921 Rondo Dr, Edmond, OK 73012-6558 Ph: () - | Keri Waggoner, MS CCC-SLP 1400 Nw 122nd St, Oklahoma City, OK 73114-8027 Ph: (405) 751-3600 |
Ms. Shanun Micaela Gibson, M.S.,CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9031 Sw 29th St, Oklahoma City, OK 73179 Phone: 405-732-3946 Fax: 405-261-6311 | |
Heather Mitchell, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1211 N Shartel Ave, Suite 200, Oklahoma City, OK 73103 Phone: 405-355-3239 | |
Mitsie Shurtz, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3030 Nw Expwy Ste 809, Oklahoma City, OK 73112 Phone: 405-917-7160 | |
Hannah Lopez, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5701 Se 74th St, Oklahoma City, OK 73135 Phone: 405-610-1909 Fax: 405-910-1910 | |
Mrs. Rheagan Diane Ballard, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2828 Nw 57th St Ste 100, Oklahoma City, OK 73112 Phone: 405-286-3749 | |
Leigh Hibbard, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13819 Quail Pointe Dr, Oklahoma City, OK 73134 Phone: 405-467-6782 | |
Mona Rena Ryan, M.S. Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1200 N Stonewall Ave, John W Keys Speech And Hearing, Oklahoma City, OK 73117 Phone: 405-271-4214 Fax: 405-271-3360 |