LISA WAGNER (NPI# 1083824593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083824593 |
| Entity Type | Individual |
| Full Name | LISA WAGNER |
| Credential | NP |
| Practice Address |
1250 Broadway, 17th Floor Visiting Nurse Service of New York New York NY 10001 |
| Mailing Address |
170 E 87th St Ph2b New York NY 10128-2214 |
| Practice Telephone | 2124652751 |
| Mailing Telephone | 9174928702 |
| Mailing Fax Number | 9174928702 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2014-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
430343 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS HEALTH COMMERCE SYSTEM | LW385602 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346754249 | Lisa Marie Wagner | Nurse Practitioner | 411 E Main St Ste 207b, Aspen, CO 81611-2953 | 2017-11-30 |
| 1679817225 | Lisa A Wagner | Speech-Language Pathologist | 2923 Downing St, Jacksonville, FL 32205-7518 | 2012-11-20 |
| 1295000743 | Lisa Marie Wagner | Licensed Practical Nurse | 70 Howard Ave, Eastchester, NY 10709-2717 | 2012-03-16 |
| 1952534521 | Lisa Marie Wagner | Occupational Therapist | 2830 Carol Rd, York, PA 17402-3852 | 2009-08-31 |
| 1780824375 | Lisa C Wagner | Speech-Language Pathologist | 59 Kinnebrook Rd, Harris, NY 12742 | 2009-02-23 |
| 1578731725 | Lisa Louise Wagner | Audiologist | 5040 Villa Linde Pkwy Ste A, Flint, MI 48532-3445 | 2008-02-11 |
| 1982776712 | Lisa Ann Wagner | Dentist | 1130 Sanctuary Pkwy, Alpharetta, GA 30009-4839 | 2006-11-15 |
| 1063418432 | Lisa M. Wagner | Home Health Aide | 328 Antrim Rd, Xenia, OH 45385-2420 | 2005-06-21 |
| 1447654413 | Lisa Wagner | Occupational Therapist | 1400 Griffin Mill Rd, Easley, SC 29640-6929 | 2014-10-20 |
| 1407270465 | Lisa Wagner | Counselor | 3900 W Brown Deer Rd Ste 200, Milwaukee, WI 53209 | 2014-02-12 |
| Street Address |
1250 BROADWAY, 17TH FLOOR VISITING NURSE SERVICE OF NEW YORK |
| City | NEW YORK |
| State | NY |
| Zip Code | 10001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627989 | Sable Tempest Sweeper | Counselor | 31 West 34th Street, 7th Floor #7058, New York, NY 10001 | 2020-10-22 |
| 1295351948 | Basha Gillian Silver | Psychologist | 544 Fifth Avenue, 10th Floor, New York, NY 10001 | 2020-06-18 |
| 1881219038 | Janice Elizabeth Williams, L.c.s.w., P.C. | Social Worker | 244 5th Ave, Suite W218, New York, NY 10001 | 2020-06-13 |
| 1073137790 | Shah Plastic Surgery Pllc | Plastic Surgery | 352 7th Avenue, Unit 1503, New York, NY 10001 | 2020-05-29 |
| 1043831522 | Anderson Hong | Counselor | 352 7th Avenue, Suite 1604, New York, NY 10001 | 2020-05-06 |
| 1689207193 | Emely Castillo | Registered Nurse | 116 W 32nd St, New York, New York, New York, NY 10001 | 2020-02-13 |
| 1447890629 | William Howard Critzman IIi | Clinic/Center | 7 W 30th St. 10th Floor, New York, NY 10001 | 2020-01-15 |
| 1811533201 | Jacqueline Furst | Social Worker | 138 West 25th Street, 6th Floor, /suite 22, New York, NY 10001 | 2019-11-21 |
| 1477196236 | Midtown Applied Medicine,pc | Psychiatry & Neurology | 244 5th Avenu, Ste 2095, Ste 2095, New York, NY 10001 | 2019-10-24 |
| 1437709896 | Hannah Murray Starobin | Social Worker | 302 5th Avenue, 8th Floor #2, New York City, NY 10001 | 2019-09-18 |
| Find all providers in zip 10001 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365579 | Emily Rose Fitzpatrick | Nurse Practitioner | 530 1st Ave # Hcc12, New York, NY 10016-6402 | 2020-10-28 |
| 1356956312 | Maria Nagel | Nurse Practitioner | 350 E 30th St Apt 1b, New York, NY 10016-8307 | 2020-09-15 |
| 1760095269 | Elizabeth Meder Demas | Nurse Practitioner | 141 Ridge St Apt A, New York, NY 10002-1804 | 2020-08-25 |
| 1093328593 | Melissa Moulton | Nurse Practitioner | 204 E 77th St Apt 2d, New York, NY 10075-2107 | 2020-08-25 |
| 1386283968 | Marina Khazan | Nurse Practitioner | 550 1st Ave # Th1803, New York, NY 10016-6402 | 2019-12-31 |
| 1215574306 | Anne Leon | Nurse Practitioner | 149 Edgecombe Ave Apt B3, New York, NY 10030-1195 | 2019-12-08 |
| 1467098194 | Meifung Schuman | Nurse Practitioner | 885 Avenue of The Americas Apt 9b, New York, NY 10001-3523 | 2019-11-18 |
| 1063069557 | Emily Mara | Nurse Practitioner | 161 Fort Washington Ave Ste 567, New York, NY 10032-3729 | 2019-08-20 |
| 1780236026 | Margot Stluka | Nurse Practitioner | 536 E 89th St Apt 2d, New York, NY 10128-7893 | 2019-07-16 |
| 1336701143 | Alexa Kristen Green | Nurse Practitioner | 175 E 96th St Apt 9c, New York, NY 10128-6204 | 2019-07-01 |
| Find all providers in NEW YORK | ||||
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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.