MS. SARAH RUTH WAGNER (NPI# 1083187165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083187165 |
| Entity Type | Individual |
| Full Name | MS. SARAH RUTH WAGNER |
| Other Name | MRS. SARAH RUTH WOODWARD |
| Credential | NP |
| Practice Address |
3801 Miranda Ave Palo Alto CA 94304-1207 |
| Mailing Address |
2441 Le Bain Dr San Jose CA 95130-2115 |
| Practice Telephone | 6504935000 |
| Mailing Telephone | 4086790940 |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
95010666 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
95010666 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
95010666 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
95010666 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235557133 | Sarah Wagner | Occupational Therapist | 840 Benmosche Rd., Harris, NY 12742 | 2014-03-29 |
| 1588081707 | Sarah Wagner | Social Worker | 51 E 3rd St, Dunkirk, NY 14048-2201 | 2014-03-26 |
| 1922435668 | Sarah J Wagner | Counselor | 371 North Main Street, Second Floor, Butler, PA 16001 | 2013-09-26 |
| 1659986859 | Sarah Wagner | Behavior Technician | 6475 Sierra Ln, Dublin, CA 94568-2796 | 2020-09-14 |
| 1700442738 | Sarah L Wagner | Physician Assistant | 421 Chestnut St, Evansville, IN 47713-1227 | 2019-05-15 |
| 1679044283 | Sarah N Wagner | Licensed Practical Nurse | 454 Broadway, Revere, MA 02151-3034 | 2018-12-07 |
| 1891279360 | Sarah Wagner | Physical Therapist | 1377 11th St Nw, Clinton, IA 52732-5068 | 2018-09-20 |
| 1356841910 | Sarah Wagner | Nurse Practitioner | 8345 Wicker Ave, Saint John, IN 46373-8879 | 2018-02-20 |
| 1528580214 | Sarah Wagner | Physical Therapist | 121 Boatyard Dr, Fort Bragg, CA 95437-5751 | 2017-07-13 |
| 1598292088 | Sarah E Wagner | Counselor | 3132 Jefferson St, San Diego, CA 92110-4421 | 2017-05-16 |
| Street Address |
3801 MIRANDA AVE |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405449 | John Paul Lavelle | Urology | 3801 Miranda Ave, B3-117 Bldg 100 Urology (#112), Palo Alto, CA 94304-1207 | 2005-05-27 |
| 1437750619 | Ashley Ando | Respiratory Therapist, Registered | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-11-04 |
| 1265032783 | Jim Le | Occupational Therapist | 3801 Miranda Ave, Palo Alto, CA 94304-1290 | 2020-10-26 |
| 1497354484 | Laura Renee Zimmerman | Registered Nurse | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-10-21 |
| 1891300810 | Clark Dan Ma | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-09-15 |
| 1124630900 | Palo Alto Perfusion Service | Perfusionist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-21 |
| 1790397362 | Gihun Kim | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-17 |
| 1750993309 | Jessica Tran | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-17 |
| 1083226500 | Danielle Jean Fox | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1290 | 2020-08-17 |
| 1346851078 | Alice Lin | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588214464 | Amanda Micaela Medrano | Nurse Practitioner | 725 Welch Rd Uppr PCu 420, Palo Alto, CA 94304-1601 | 2019-09-12 |
| 1225542509 | Sheryl Lynn Blankers | Nurse Practitioner | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2017-11-26 |
| 1700013133 | Amanda Rose Moy | Nurse Practitioner | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2009-06-11 |
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| 1568641868 | Ivy Njoloma | Nurse Practitioner | 14248 San Benito Ct, Fontana, CA 92336-3781 | 2007-11-02 |
| 1508060237 | Oteria Randall Koayen | Nurse Practitioner | 1166 Brooktrail Dr, 1900 Fruitvale Ave Suite 3e, Pittsburg, CA 94565-7627 | 2007-06-14 |
| 1326118704 | Maria Amada F. Apacible | Nurse Practitioner | 160 Divisadero, San Francisco, CA 94143-0001 | 2006-11-09 |
| 1114934346 | Nicole Danielle Carrillo | Nurse Practitioner | 623 Broderick St, San Francisco, CA 94117-1411 | 2006-08-01 |
| 1962423640 | Maureen Kittner Haske Palomino | Nurse Practitioner | 100 Irvine Hall, Irvine, CA 92697-4275 | 2006-07-21 |
| 1598372690 | Heshimu Jamal Mccrainey | Nurse Practitioner | 3555 Cesar Chavez, San Francisco, CA 94110-4403 | 2020-09-23 |
| 1386259695 | Erin Jenkins | Nurse Practitioner | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-09-14 |
| 1952913634 | Honey R Beddingfield | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2020-08-23 |
| Find all providers with the same taxonomy | ||||
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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.