Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Krista Waggoner, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1346760170

Krista Waggoner, CCC-SLP is a Speech-Language Pathologist in Palm Coast, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida and Texas.

Licensed in
FL, TX
In the registry since
2017
Specialties on file
2
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

4875 Palm Coast Pkwy NW Unit 2
Palm Coast, FL 32137-3671
Phone: (386) 446-9935
Fax: (386) 446-7777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 112 Braves Way, Lavon, TX 75166-4700 — (734) 620-4533

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA16585 (FL)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 117777 (TX)

Record details

NPI number1346760170
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedJune 22, 2017
Last updated in NPPESFebruary 21, 2022
Certification dateFebruary 21, 2022

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