MRS. GAIL ANN WAGNER (NPI# 1003838582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003838582 |
| Entity Type | Individual |
| Full Name | MRS. GAIL ANN WAGNER |
| Credential | M.S. |
| Practice Address |
143 E Merritt St Prescott AZ 86301-2028 |
| Practice Telephone | 9284455027 |
| Practice Fax Number | 9284457071 |
| Mailing Telephone | 9284455027 |
| Mailing Fax Number | 9284457071 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC0404 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | CAQH | 11586734 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437594801 | Gail Anne Wagner | Registered Nurse | 34 Roadside Dr, Hamlin, NY 14464 | 2013-04-30 |
| 1376023192 | Gail Wagner | Social Worker | 22 Pleasant St, Malden, MA 02148-5119 | 2018-08-21 |
| 1225216609 | Gail Wagner | Speech-Language Pathologist | 15600 San Pedro Ave Ste 307, San Antonio, TX 78232-3739 | 2008-02-07 |
| 1689706244 | Gail Nmn Wagner | Massage Therapist | 1319 Lee Blvd, Richland, WA 99352-4141 | 2007-03-09 |
| 1780756593 | Gail Mona Wagner | Internal Medicine | 2500 Merced Street, San Leandro, CA 94577-4201 | 2006-11-15 |
| 1326125691 | Gail T. Wagner | Nurse Practitioner | 900 Illinois Ave, Stevens Point, WI 54481-3114 | 2006-11-01 |
| 1619903788 | Gail R Wagner | Nurse Practitioner | 4101 S 4th St, Leavenworth, KS 66048-5014 | 2006-06-23 |
| Street Address |
143 E MERRITT ST |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-2028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952386708 | Daniel Fallon | Psychologist | 143 E Merritt St, Prescott, AZ 86301-2028 | 2005-12-14 |
| 1851783187 | Performance Fallon Inc | Psychologist | 143 E Merritt St, Prescott, AZ 86301-2028 | 2015-02-24 |
| 1386084382 | Gail L Edgerton | Social Worker | 143 E Merritt St, Prescott, AZ 86301-2028 | 2013-07-05 |
| 1841474814 | Wagner & Associates Pllc | Psychologist | 143 E Merritt St, Prescott, AZ 86301-2028 | 2007-12-26 |
| 1154501682 | Douglas A. Bergstrom, Ph.d., Pllc | Community/Behavioral Health | 143 E Merritt St, Prescott, AZ 86301-2028 | 2007-11-13 |
| 1063536688 | Douglas Alan Bergstrom | Psychologist | 143 E Merritt St, Prescott, AZ 86301-2028 | 2007-03-19 |
| 1245378595 | Rory B. Madden | Psychologist | 143 E Merritt St, Prescott, AZ 86301-2028 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063978781 | Terence Maguire Pilicy | Counselor | 812 Valley St Ste 7, Prescott, AZ 86305-1826 | 2019-02-18 |
| 1952875577 | Sean James Mcloughlin | Counselor | 122 N Cortez St Ste 107, Prescott, AZ 86301-3022 | 2019-01-16 |
| 1447725767 | Laura Henry Oliver | Counselor | 711 Seri Dr, Prescott, AZ 86303-7214 | 2018-10-13 |
| 1164923025 | Virginia Wenzel | Counselor | 2063 Meadowbrook Rd, Prescott, AZ 86303-5696 | 2018-02-26 |
| 1518364652 | Kathleen Hald | Counselor | 204 N Mount Vernon Ave, 112 East Merrit Street, Prescott, AZ 86301-3108 | 2014-12-03 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1134543481 | R. Smyly Addiction Clinical Services LLC | Counselor | 819 W Gurley St Unit C, Prescott, AZ 86305-3626 | 2014-02-06 |
| 1134435019 | Penny Collins | Counselor | 332 Circle P Dr, Prescott, AZ 86303-5525 | 2010-08-30 |
| 1699089730 | Debbie Ritterbush | Counselor | 914 E Gurley St Ste 200, Prescott, AZ 86301-3245 | 2010-07-30 |
| 1093961708 | Tracey Frederiksen | Counselor | 2228 Lakewood Dr, Prescott, AZ 86301-4476 | 2008-08-13 |
| Find all providers in PRESCOTT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.