IndividualActive
Samantha Waggoner
NPI 1164016994 · Community Health Worker · Pennsboro, WV
Samantha Waggoner is a Community Health Worker provider in Pennsboro, WV (NPI 1164016994).
Provider details
- NPI number
- 1164016994
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
156 Poplar Lick Ln
Pennsboro, WV 26415-6252
Phone: (304) 483-4796
Approximate (ZIP-level) locationGet directions
Mailing address
156 Poplar Lick Ln
Pennsboro, WV 26415-6252
Registry dates
- Enumerated
- 2021-02-23
- Last updated
- 2021-02-23
- Certified
- 2021-02-23
Frequently asked questions
- What is Samantha Waggoner's NPI number?
- Samantha Waggoner's National Provider Identifier (NPI) is 1164016994, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samantha Waggoner's specialty?
- Samantha Waggoner is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Samantha Waggoner located?
- Samantha Waggoner's practice location on file with NPPES is 156 Poplar Lick Ln, Pennsboro, WV 26415-6252.
- What is Samantha Waggoner's phone number?
- The practice phone number listed in the NPPES registry for Samantha Waggoner is (304) 483-4796.
- Is Samantha Waggoner's NPI active?
- Yes — Samantha Waggoner's NPI (1164016994) is active in the NPPES registry as of the last update on 2021-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.