STEPHANIE WAGNER (NPI# 1104291574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104291574 |
| Entity Type | Individual |
| Full Name | STEPHANIE WAGNER |
| Practice Address |
1387 Fairport Rd Fairport NY 14450-2003 |
| Practice Telephone | 5856410304 |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 0217691 | NY | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169918 | Stephanie Ann Wagner | Nurse Practitioner | 5601 Loch Raven Blvd Bldg Suite502, Baltimore, MD 21239-2945 | 2019-02-04 |
| 1538633797 | Stephanie L Wagner | Massage Therapist | 1106 W Market St, York, PA 17404-3414 | 2019-01-21 |
| 1417466301 | Stephanie Wagner | Doula | 23 Abbey Ln Nw, Cartersville, GA 30120-7739 | 2017-09-24 |
| 1427412733 | Stephanie Lynn Wagner | Registered Nurse | 181 E 119th St Apt 8b, New York, NY 10035-4080 | 2016-04-12 |
| 1922346964 | Stephanie Wagner | Nurse Practitioner | 77 Bayview St, Belfast, ME 04915-6709 | 2013-01-25 |
| 1851928881 | Stephanie Bing Wagner | Pediatrics | 593 Eddy St, Providence, RI 02903 | 2020-03-27 |
| 1386120731 | Stephanie Wagner | Social Worker | 403 Stoney Landing Rd, Moncks Corner, SC 29461-3967 | 2018-07-18 |
| 1922591361 | Stephanie Wagner | Rehabilitation Practitioner | 43520 Division St, Lancaster, CA 93535-4089 | 2018-06-11 |
| 1477065472 | Stephanie Wagner | Occupational Therapist | 4562 Westinghouse St Ste A, Ventura, CA 93003-5797 | 2017-10-30 |
| 1487177812 | Stephanie Lynn Wagner | Behavior Technician | 452 N Eola Rd, Aurora, IL 60502-9612 | 2017-07-18 |
| Street Address |
1387 FAIRPORT RD |
| City | FAIRPORT |
| State | NY |
| Zip Code | 14450-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235190521 | Christopher R. Galbreath | Psychiatry & Neurology | 1387 Fairport Rd, Suite 580, Fairport, NY 14450-2003 | 2006-03-28 |
| 1871113951 | Mary Klimek | Speech-Language Pathologist | 1387 Fairport Rd, Fairport, NY 14450-2003 | 2020-04-20 |
| 1629543723 | Emily Katherine Robinson | Occupational Therapist | 1387 Fairport Rd, Fairport, NY 14450-2003 | 2018-10-04 |
| 1750831517 | Rachel Fisher | Social Worker | 1387 Fairport Rd, Suite 540, Fairport, NY 14450-2003 | 2016-10-05 |
| 1306295704 | Alexandra A Wilkosz | Social Worker | 1387 Fairport Rd, Suite 1000d, Fairport, NY 14450-2003 | 2016-06-07 |
| 1609240654 | Marissa Ross | Counselor | 1387 Fairport Rd, Fairport, NY 14450-2003 | 2015-11-13 |
| 1043681760 | Alexandra Claflin | Physical Therapist | 1387 Fairport Rd, Building 1100, Fairport, NY 14450-2003 | 2015-10-08 |
| 1255681201 | Douglas Stuart Mciver | Acupuncturist | 1387 Fairport Rd, Building 500, Suite 520, Fairport, NY 14450-2003 | 2012-09-18 |
| 1659696771 | Philip John Derleth | Student in an Organized Health Care Education/Training Program | 1387 Fairport Rd, Suite 640, Fairport, NY 14450-2003 | 2010-03-31 |
| 1578885083 | Soulitudes LLC | Clinic/Center | 1387 Fairport Rd, Building 500 Suite 520, Fairport, NY 14450-2003 | 2010-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982255899 | Stephanie Janet Catlin-rakoski | Counselor | 1387 Fairport Rd Bldg 500, Ste 540, Fairport, NY 14450 | 2019-09-23 |
| 1477011773 | Meredith Noel Austin-appleton | Pediatrics | Pediatric Urgent Care of Rochester, 6687 Pittsford Palmyra Rd, Fairport, NY 14450 | 2019-03-05 |
| 1659852358 | Linda Demme | Registered Nurse | 29 Pleasant St, Fairport, NY 14450 | 2018-08-22 |
| 1679075154 | Tharaha Thavakumar | Behavior Technician | 6 N. Main Street, Fairport, NY 14450 | 2018-03-01 |
| 1295244309 | Comprehensive Medicine, Pllc | Psychiatry & Neurology | 762 Crosskeys Office Park, Fairport, NY 14450 | 2017-09-21 |
| 1104353846 | Courtney Chapman | Student in an Organized Health Care Education/Training Program | 4 Valais Ct, Fairport, NY 14450 | 2017-05-12 |
| 1477947786 | Preston Orthodontics, Pllc | Dentist | 2154 Fairport Nine Mile Point Road, Fairport, NY 14450 | 2015-03-25 |
| 1154724334 | Amanda Corrisa Kalsih | Registered Nurse | 95 Evergreen Circle, Fairport, NY 14450 | 2014-10-02 |
| 1295172153 | Pamela Lea Alexander | Skilled Nursing Facility | 41 O,connor Road, Monroe #1 Boces, Fairport, NY 14450 | 2013-05-31 |
| 1255682084 | Lauren Lashomb | Specialist | 6 North Main Street, Fairport, NY 14450 | 2012-09-19 |
| Find all providers in zip 14450 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073046793 | Marissa Nicole Peters | Speech-Language Pathologist | 36 Boxwood Ln Apt 11, Fairport, NY 14450-3779 | 2017-04-10 |
| 1255798807 | Jessie Amorese | Speech-Language Pathologist | 14 Deland Park A, Fairport, NY 14450-1404 | 2016-01-26 |
| 1437409695 | Julie Jerome | Speech-Language Pathologist | 149 N. Main Street, Fairport, NY 14450 | 2012-09-14 |
| 1578831368 | Kristen Rose Ehmann | Speech-Language Pathologist | 181 Hamilton Rd, Fairport, NY 14450-9711 | 2011-12-07 |
| 1417230699 | Kristin Mcomber | Speech-Language Pathologist | 181 Hulburt Rd, Fairport, NY 14450-2474 | 2011-09-23 |
| 1437431186 | Ann Mongeau | Speech-Language Pathologist | 211 Hamilton Rd, Fairport, NY 14450-9711 | 2011-09-19 |
| 1255619599 | Stephanie Kay Deeney | Speech-Language Pathologist | 4 Chase View Rd, Fairport, NY 14450 | 2011-08-03 |
| 1013202183 | Kaitlin Michelle Hurley | Speech-Language Pathologist | 58 Blackwatch Trl, Fairport, NY 14450-3724 | 2011-06-16 |
| 1669762647 | Christina K. Staveski | Speech-Language Pathologist | 3 Olde Orchard Ln, Fairport, NY 14450-2468 | 2011-04-12 |
| 1760708366 | Kristen C French | Speech-Language Pathologist | 6800 Pittsford Palmyra Rd Ste 380, Fairport, NY 14450-3518 | 2010-04-08 |
| Find all providers in FAIRPORT | ||||
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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.