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CORAL JANE WAGGONER RPSGT, RRT,CCSH,MBA
NPI 1467958942
Specialist/Technologist, Other in Albuquerque, NM

Active since April 03, 2018
4700 JEFFERSON ST NE STE 800, ALBUQUERQUE, NM 87109(505) 872-6005(515) 872-6003 Get Directions Write a Review

NPPES record last updated: April 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coral Jane Waggoner Rpsgt, Rrt,ccsh,mba NPPES

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

CORAL JANE WAGGONER RPSGT, RRT,CCSH,MBA (NPI 1467958942) is an individual specialist/technologist, other provider in Albuquerque, New Mexico, licensed in New Mexico (PT2013-0001) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1467958942
Entity TypeIndividualFemale
Primary Taxonomy246Z00000X
Provider Legal NameCORAL JANE WAGGONERCredential: RPSGT, RRT,CCSH,MBA
Location Address4700 JEFFERSON ST NE STE 800Albuquerque, NM 87109-2132
Mailing Address1869 Montara Ct NwLos Lunas, NM 87031-8384 · (505) 872-6005 · Fax (505) 872-6003
Phone(505) 872-6005
Fax(515) 872-6003
Sole ProprietorYes
Enumeration DateApril 3, 2018
✔ NPI 1467958942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246Z00000X
License✔ Licensed in NM · PT2013-0001
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
4700 JEFFERSON ST NE STE 800, Albuquerque, NM 87109
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

WELSCARE OF NEW MEXICO LLC
Clinic/Center (Multi-Specialty)
4700 JEFFERSON ST NE STE 800
ALBUQUERQUE, NM 87109
Bernalillo County (801) 869-4100
LAURENCE R LAUDICINA MD
Orthopaedic Surgery
4700 JEFFERSON ST NE STE 800
ALBUQUERQUE, NM 87109
Bernalillo County (505) 932-7112
SUSAN GIRON FNP
Nurse Practitioner (Family)
4700 JEFFERSON ST NE STE 800
ALBUQUERQUE, NM 87109
Bernalillo County (505) 418-6636
DAMEN MICHAEL SACOMAN MD
Orthopaedic Surgery
4700 JEFFERSON ST NE STE 800
ALBUQUERQUE, NM 87109
Bernalillo County (505) 932-7112
JAMES KIRK ALLMAN PAC
Physician Assistant
4700 JEFFERSON ST NE STE 800
ALBUQUERQUE, NM 87109
Bernalillo County (505) 932-7112

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 Coral Waggoner's NPI number?

The NPI number for Coral Waggoner is 1467958942. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Coral Waggoner located?

Coral Waggoner practices at 4700 Jefferson St NE Ste 800, Albuquerque, NM 87109. The listed phone number is (505) 872-6005.

What is Coral Waggoner's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

When was this NPI record last updated?

The NPPES record for Coral Waggoner was last updated on April 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.