MRS. GWENYTH GRACE WAGNER


Address: 407 S Clairborne Rd, Olathe, KS 66062-1857
Phone: 9133939921

MRS. GWENYTH GRACE WAGNER (NPI# 1093156564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093156564
Entity Type Individual
Full Name MRS. GWENYTH GRACE WAGNER
Practice Address 407 S Clairborne Rd
Olathe
KS 66062-1857
Mailing Address 13148 S Summit St
Olathe
KS 66062-9496
Practice Telephone 9133939921
Mailing Telephone 9136344992
Enumeration Date 2013-07-12
Last Update Date 2013-07-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
53-74969 KS Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 407 S CLAIRBORNE RD
City OLATHE
State KS
Zip Code 66062-1857

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770576795 Leland Wayne Klaassen Dentist 407 S Clairborne Rd, Suite 203, Olathe, KS 66062-1723 2005-08-24
1417478462 Joy Martha Wright Dental Hygienist 407 S Clairborne Rd, Olathe, KS 66062-1857 2017-06-29
1205379567 Leah D. Burnison Counselor 407 S Clairborne Rd, Suite 104, Olathe, KS 66062-1857 2016-11-18
1457721284 Jamie Klamm Nurse Practitioner 407 S Clairborne Rd, Olathe, KS 66062-1857 2015-10-06
1457741282 Carlie Nikel Psychologist 407 S Clairborne Rd, Suite 104, Olathe, KS 66062-1857 2015-02-02
1548650377 Rhiannon Moore Psychologist 407 S Clairborne Rd, Ste 104, Olathe, KS 66062-1857 2015-02-02
1467867424 Wendi R Davies Nurse Practitioner 407 S Clairborne Rd, Suite 104, Olathe, KS 66062-1857 2014-06-27
1578902862 Erica Findley Dentist 407 S Clairborne Rd, Suite 104, Olathe, KS 66062-1857 2013-06-19
1265785232 Health Partnership Clinic, Inc. Clinic/Center 407 S Clairborne Rd, Suite 104, Olathe, KS 66062-1857 2012-10-16
1447507017 Amanda Lynn Hartman Nurse Practitioner 407 S Clairborne Rd, Suite 104, Olathe, KS 66062-1857 2012-08-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326672353 Skylar Moore Behavioral Analyst 620 S. Rodgers Rd, Olathe, KS 66062 2020-02-28
1013554179 Maureen Nicole Hernandez Counselor 14201 S Mur-len Rd, Suite 106, Olathe, KS 66062 2019-12-06
1326505256 Gateway of Hope Minisitries Inc Counselor 801 N. Murlen Suite 111, Olathe, KS 66062 2019-02-27
1235607698 Eric Kilii Malombe Driver 17525 S Roundtree Drive, Olathe, KS 66062 2018-11-04
1013482504 Jacqueline Maria Loconsolo Counselor 14201 S Mur Len Rd Ste 106, Olathe, KS 66062 2018-10-10
1245710193 Olathe South Dentistry, Pa Dentist 16587 W 151st St, Olathe, KS 66062 2018-08-20
1801389671 Karen Sue Tennyson Behavior Technician 14136 East 135th St., Olathe, KS 66062 2018-06-07
1861901639 Phye Family Dentistry, P.a. Dentist 401 S. Clairborne, Suite A, Olathe, KS 66062 2017-09-25
1689192619 Briana Purkapile Occupational Therapy Assistant 17336 West 158th St., Olathe, KS 66062 2017-08-30
1629591342 Sbl Enterprises, LLC Occupational Therapist 14154 W 156th Lane, Olathe, KS 66062 2017-07-25
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922477223 Lindsay Page Nurse Practitioner 15811 W 125th St, Olathe, KS 66062-5241 2015-09-17
1093118606 Cherie Parker Nurse Practitioner 14361 S Blackfeather Dr, Olathe, KS 66062-4667 2014-09-27
1750689097 Andrea Kristen Guyette Nurse Practitioner 10671 S Cedar Niles Blvd, Olathe, KS 66061-7415 2011-03-10
1598189615 Ann Heatherly Nurse Practitioner 17500 W 119th St, Olathe, KS 66061-9524 2014-02-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700401163 Caroline Etok Elad Nurse Practitioner 904 E Hamline St, Garden City, KS 67846-3429 2020-06-11
1417583584 Ann Ncekei Wairagu Nurse Practitioner 347 S Laura Ave, Wichita, KS 67211-1518 2020-03-20
1407480130 Paige Marie Budzinski Nurse Practitioner 5100 W 110th St, Overland Park, KS 66211-1215 2020-03-03
1396209201 David Andrew Campbell Nurse Practitioner 421 Muncie Ter, Leavenworth, KS 66048-5025 2019-01-24
1376012849 Laura Elizabeth Fulbrook Nurse Practitioner 1358 S Sierra Hills St, Wichita, KS 67230-7548 2018-11-14
1164990396 Tiffany Elizabeth Gallucci Nurse Practitioner 4915 Norton Healthcare Boulevard, Louisville, KS 40241 2018-11-06
1013494467 Andrea Stafford Nurse Practitioner 1491 N Coolidge Ave, Wichita, KS 67203-2982 2018-07-27
1710478672 Faith Obiero Nurse Practitioner 425 E 61st St N Ste 2, Park City, KS 67219 2018-05-25
1629578943 Katherine Danielle Egnoske Nurse Practitioner 601 Sw Corporate Vw Ste 100, Topeka, KS 66615-1245 2018-02-13
1295246015 Meredith Meyer Bell Nurse Practitioner 5064 W 130th Terrace, Leawood, KS 66209 2017-10-19
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Competitor

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City OLATHE
Zip Code 66062

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Dataset Information

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.

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