DR. WILLIAM ROBERT WAGNER (NPI# 1043219587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043219587 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM ROBERT WAGNER |
| Credential | DRNP, LCSW |
| Practice Address |
1000 Health Center Road Kyle Health Center / Dhhs/ihs Kyle SD 57752 |
| Practice Telephone | 9176269011 |
| Mailing Telephone | 9176269011 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2016-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
R055430 | NY | Behavioral Health & Social Service Providers |
| N | 163W00000X | Registered Nurse | 541137 | NY | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F304782 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
F340615 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043594963 | William Douglas Wagner | Counselor | 2139 Palm Ct, North Port, FL 34287-5724 | 2011-10-11 |
| 1497967947 | William A Wagner | General Practice | 2317 Elmwood Dr Se, Grand Rapids, MI 49506-4055 | 2007-05-05 |
| 1396882130 | William L Wagner | Chiropractor | 303 W Birnie St, Gaffney, SC 29341-2307 | 2007-01-31 |
| 1760535587 | William Scott Wagner | Dentist | 1400 Marsh Landing Pkwy, Suite 104, Jacksonville Beach, FL 32250-2493 | 2007-01-18 |
| 1477603702 | William Claude Wagner | Dentist | 211 N Prairie St, Bloomington, IL 61701 | 2007-01-11 |
| 1255419511 | William Wagner | Family Medicine | 6214 Johnson St, Hollywood, FL 33024-5932 | 2006-11-02 |
| 1558384875 | William Wagner | Nurse Anesthetist, Certified Registered | 1710 Cheyenne Dr, Hillsborough, NC 27278-9500 | 2006-07-26 |
| 1871528455 | William Frederick Wagner | Anesthesiology | 1506 N Fant St, Anderson, SC 29621-4708 | 2006-07-11 |
| 1639130446 | William John Wagner | Family Medicine | 531 Broad St, Montoursville, PA 17754-2338 | 2006-03-31 |
| 1063473692 | William G Wagner | Radiology | 1601 N Taylor Dr, Sheboygan, WI 53081-1930 | 2006-03-31 |
| Street Address |
1000 HEALTH CENTER ROAD KYLE HEALTH CENTER / DHHS/IHS |
| City | KYLE |
| State | SD |
| Zip Code | 57752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568001857 | Suzanne Curts | Registered Nurse | 1000 Health Center Road, Kyle, SD 57752-0540 | 2020-01-03 |
| 1043862162 | Nikki Black Bear | Counselor | 1000 Health Center Road, Kyle, SD 57752-0540 | 2019-07-09 |
| 1225596745 | Margaret Brill | Pharmacist | 1000 Health Center Road, Kyle, SD 57752-0540 | 2019-03-04 |
| 1821522087 | Aundrea Lavoy | Registered Nurse | 1000 Health Center Road, Kyle, SD 57752-0540 | 2017-04-14 |
| 1225588734 | Jeanette Amiotte | Registered Nurse | 1000 Health Center Road, Kyle, SD 57752-0540 | 2016-10-07 |
| 1619426319 | Amanda Lea Hicks | Registered Nurse | 1000 Health Center Road, Kyle, SD 57752 | 2016-09-23 |
| 1598212193 | Rachel Shipe | Pharmacist | 1000 Health Center Road, Kyle, SD 57752-0540 | 2016-09-01 |
| 1740514330 | Mary E Dvorak | Pharmacist | 1000 Health Center Road, Kyle, SD 57752 | 2009-09-29 |
| 1043450745 | Kathleen Rae Thompson | Registered Nurse | 1000 Health Center Road, Kyle, SD 57752-0540 | 2009-02-20 |
| 1285883900 | Kyle Health Center | Nursing Care | 1000 Health Center Road, Kyle, SD 57752 | 2008-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504188 | Adam O Zayed | Pharmacist | 1000 Health Ctr Rd, Kyle, Sd 57752, Kyle, SD 57752 | 2020-07-01 |
| 1538534052 | Emmaline Elk | Registered Nurse | 100 Health Center Road, Kyle, SD 57752 | 2015-12-09 |
| 1841508074 | Oglala Lakota College- Head Start/ Early Head Start Program | Local Education Agency (LEA) | 490 Piya Wiconi Road, Kyle, SD 57752 | 2010-09-22 |
| 1629227202 | Kyle Health Center | Clinic/Center | 1000 Health Center Rd., Kyle, SD 57752 | 2008-09-18 |
| 1972720829 | James Edward Mcconkey | Pharmacist | 1000 Health Care Drive, Kyle, SD 57752 | 2007-04-20 |
| 1720117740 | Kyle Ihs Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1000 Health Center Circle, Kyle, SD 57752 | 2007-03-05 |
| 1427165836 | Diane M Reeves | Pharmacist | 1000 Health Service Dr., Kyle I.h.s. Out Patient Clinic, Kyle, SD 57752 | 2006-08-23 |
| 1548210131 | Gregory J Flaitz | Optometrist | 1000 Health Center Drive, Kyle Health Center Ihs, Kyle, SD 57752 | 2006-05-12 |
| 1326016874 | Barbara Jeanne Fuller | Physician Assistant | 1000 Health Cntr Dr, Kyle Health Center, Kyle, SD 57752 | 2006-03-10 |
| 1699759001 | Ellen Stephen Hospice and Homecare | Registered Nurse | 1 Main, Kyle, SD 57752 | 2005-11-30 |
| Find all providers in zip 57752 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992007728 | Katherine Joy Kaut | Nurse Practitioner | 1180 Seton Pkwy, Suite 330, Kyle, TX 78640-6178 | 2010-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902391287 | Alison Serck | Nurse Practitioner | 4201 S Minnesota Ave Ste 112, Sioux Falls, SD 57105-6706 | 2018-06-28 |
| 1457327702 | Kristine I Gaster | Nurse Practitioner | 1000 E. 21st St., Ste. 1200, Sioux Falls, SD 57105 | 2006-02-27 |
| 1275162430 | Tessah Renee Bien | Nurse Practitioner | 403 W Broad Ave, Flandreau, SD 57028-1630 | 2020-04-08 |
| 1235770231 | Christopher Gacke | Nurse Practitioner | 1301 W 18th St, Sioux Falls, SD 57105-0401 | 2019-10-01 |
| 1811431877 | Megan Merkel | Nurse Practitioner | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2016-12-10 |
| 1780134023 | Andrew Jacob Murtha | Nurse Practitioner | 1301 S Cliff Ave, Sioux Falls, SD 57105-1005 | 2016-10-11 |
| 1750730966 | Brenda R. Collins | Nurse Practitioner | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2016-06-08 |
| 1689028763 | Angela M Ratzsch | Nurse Practitioner | 640 Flormann St, Rapid City, SD 57701-4679 | 2016-04-14 |
| 1477919421 | Elizabeth Lapp | Nurse Practitioner | 6100 S Louise Ave Ste 1120, Sioux Falls, SD 57108-6021 | 2016-01-06 |
| 1497139323 | Amber Victoria Staedtler | Nurse Practitioner | 4141 5th St, Rapid City, SD 57701-6021 | 2015-07-09 |
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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.