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MICHELLE DIANE WAGGONER LPN
NPI 1124585641
Licensed Practical Nurse in Dayton, OH

Active since February 21, 2019
8120 GARNET DR, DAYTON, OH 45458(513) 834-7063(513) 873-1567 Get Directions Write a Review

NPPES record last updated: December 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2019, Feb 21, 2019 (2 updates tracked since 2019).

About Michelle Diane Waggoner Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE DIANE WAGGONER LPN (NPI 1124585641) is an individual licensed practical nurse in Dayton, Ohio, licensed in Ohio (LPN.130695.MEDS-IV) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1124585641
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMICHELLE DIANE WAGGONERCredential: LPN
Location Address8120 GARNET DRDayton, OH 45458-2141
Mailing Address446 Morgan StCincinnati, OH 45206-2348 · (513) 834-7063 · Fax (513) 873-1567
Phone(513) 834-7063
Fax(513) 873-1567
Sole ProprietorNo
Enumeration DateFebruary 21, 2019
Last NPPES UpdateDecember 20, 20192 updates tracked since enumeration
✔ NPI 1124585641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · LPN.130695.MEDS-IV
Definition
A licensed practical nurse 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.
8120 GARNET DR, Dayton, OH 45458
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REGAN SMITH LPN
Licensed Practical Nurse
8120 GARNET DR
CENTERVILLE, OH 45458
Montgomery County (888) 510-3928
KIMBERLY WADE YOUNG APRN, FNP-C
Nurse Practitioner (Family)
8120 GARNET DR
DAYTON, OH 45458
Montgomery County (833) 510-4357
LUIS JAMES VILLAGRANA CDCA
Counselor (Addiction (Substance Use Disorder))
8120 GARNET DR
DAYTON, OH 45458
Montgomery County (937) 250-6236
SIDNEY ELIZABETH NICOLE MEDAUGH LCDCIII
Counselor (Addiction (Substance Use Disorder))
8120 GARNET DR
DAYTON, OH 45458
Montgomery County (866) 934-7450
MADISON MARIE SULLIVAN RN
Registered Nurse
8120 GARNET DR
DAYTON, OH 45458
Montgomery County (833) 510-4357
SUSAN E. WEISMAN CNP
Nurse Practitioner (Family)
8120 GARNET DR
DAYTON, OH 45458
Montgomery County (833) 510-4357
LANNETTE MICHELLE HENDERSON RN
Registered Nurse
8120 GARNET DR
DAYTON, OH 45458
Montgomery County (833) 510-4357
TAMELA LEE VANGELDER LPN
Licensed Practical Nurse
8120 GARNET DR
DAYTON, OH 45458
Montgomery County (138) 347-0635

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Waggoner's NPI number?

The NPI number for Michelle Waggoner is 1124585641. It was assigned to this individual provider in the NPPES registry on February 21, 2019.

Where is Michelle Waggoner located?

Michelle Waggoner practices at 8120 Garnet Dr, Dayton, OH 45458. The listed phone number is (513) 834-7063.

What is Michelle Waggoner's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Michelle Waggoner was last updated on December 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.