ANGELA WAGGENER M.S. CCC-SLP
NPI 1760849830
Speech-Language Pathologist in Southlake, TX

Q: What is Angela Waggener's NPI number?

The NPI number for Angela Waggener is 1760849830. It was assigned to this individual provider in the NPPES registry on January 20, 2016.

Q: What is Angela Waggener's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Angela Waggener was last updated on January 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since January 20, 2016Accepts Medicare Assignment

101 WATERMERE DR, SOUTHLAKE, TX 76092(817) 431-8668 Get Directions Write a Review

NPPES record last updated: January 20, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Angela Waggener M.s. Ccc-slp NPPES

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

ANGELA WAGGENER M.S. CCC-SLP (NPI 1760849830) is an individual speech-language pathologist provider in Southlake, Texas, licensed in Texas (106854) and active in the NPI registry since January 2016. She is a graduate of Other (2011).

NPPES Registry Identity

NPI1760849830

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameANGELA WAGGENERCredential: M.S. CCC-SLP

Location Address101 WATERMERE DRSouthlake, TX 76092-8116

Mailing Address5021 Marineway DrFort Worth, TX 76135-1809 · (405) 555-5555

Phone(817) 431-8668

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateJanuary 20, 2016

✔ NPI 1760849830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in TX · 106854

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

101 WATERMERE DR, Southlake, TX 76092

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angela Waggener M.s. Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032552138

PECOS Enrollment IDI20240206001502

Other Providers at the Same Location NPPES 18

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

CATHLEEN SHANNON HAMBY

Speech-Language Pathologist