TERESA WAGNER (NPI# 1114484714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114484714 |
| Entity Type | Individual |
| Full Name | TERESA WAGNER |
| Practice Address |
1341 Rosebud Ln Billings MT 59101-6527 |
| Practice Telephone | 4065341755 |
| Mailing Telephone | 4065341755 |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2019-03-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275096364 | Teresa L Wagner | Dietitian, Registered | 5841 Recreation Dr Apt 2404, Fort Worth, TX 76109-1068 | 2019-04-08 |
| 1306212022 | Teresa Wagner | Licensed Practical Nurse | 131 E Columbia Ave., Suite 115, Battle Creek, MI 49015 | 2015-08-17 |
| 1336271477 | Teresa Lee Wagner | Social Worker | 215 N Geneva St, Ithaca, NY 14850-4135 | 2007-03-12 |
| 1033215181 | Teresa Wagner | Internal Medicine | 1560 N 115th St Ste G10, Seattle, WA 98133-8414 | 2006-09-16 |
| 1770969750 | Teresa Wagner | Dietitian, Registered | 45 Snelling Ave N, Saint Paul, MN 55104-6842 | 2015-08-03 |
| 1255663605 | Teresa J. Wagner | Case Manager/Care Coordinator | 801 Park Ave, Minneapolis, MN 55404-1136 | 2010-02-10 |
| 1184744955 | Teresa A Wagner | Counselor | 65-1206 Mamalahoa Hwy, Kamuela, HI 96743-7303 | 2007-03-29 |
| 1255487286 | Teresa Michelle Wagner | Physical Therapist | 807 N Tyndall Pkwy, Panama City, FL 32404-9495 | 2007-01-25 |
| 1063572717 | Teresa Moore Wagner | Registered Nurse | 150 Duncan Road, Buckeye, WV 24924-9037 | 2006-12-11 |
| Street Address |
1341 ROSEBUD LN |
| City | BILLINGS |
| State | MT |
| Zip Code | 59101-6527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104874585 | Evergreen At Billings, L.L.C. | Skilled Nursing Facility | 1341 Rosebud Ln, Billings, MT 59101-6527 | 2006-05-05 |
| 1417416918 | Gilreath Wagner Inc | Assisted Living Facility | 1341 Rosebud Ln, Billings, MT 59101-6527 | 2019-03-14 |
| 1376702886 | Ponderosa Pines Healthcare LLC | Physical Therapist | 1341 Rosebud Ln, Billings, MT 59101-6527 | 2008-06-09 |
| 1255532313 | Ponderosa Health Care, Inc | Skilled Nursing Facility | 1341 Rosebud Ln, Billings, MT 59101-6527 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950927 | Rayola Carol Grant | Student in an Organized Health Care Education/Training Program | Montana State University College of Nursing, Billing Ce, Ap 306 1500 University Drive, Billings, MT 59101 | 2020-07-29 |
| 1225652001 | Johnny L Talawyma Jr. | Peer Specialist | 1230 N. 30th St. Suite 100, Billings, MT 59101 | 2020-06-08 |
| 1306487962 | Jeannine L. Walter | Technician | 26 Peters St, Billings, MT 59101 | 2019-10-04 |
| 1912470089 | Deidre Jenae Johnson | Student in an Organized Health Care Education/Training Program | 1500 University Drive, Rimrock 503, Billings, MT 59101 | 2019-01-10 |
| 1649743964 | Annika Stampfel | Behavior Technician | 780 Broadwater Avenue, Billings, MT 59101 | 2019-01-09 |
| 1215436092 | Yellowstone City-county Health Department | Clinic/Center | 515 N 27th St, Billings, MT 59101 | 2018-02-07 |
| 1902305790 | Yellowstone City-county Health Department | Clinic/Center | 3005 1st Ave S, Billings, MT 59101 | 2018-02-07 |
| 1720587512 | Yellowstone City-county Health Department | Clinic/Center | 120 Jackson Street, Billings, MT 59101 | 2018-02-07 |
| 1508385477 | Jkw & Jira Inc. | Pharmacy | 1245 N 29th St Ste 100, Billings, MT 59101 | 2017-09-12 |
| 1487198610 | Rebecca Webber | Counselor | 251 Rolling Meadow Dr, Billings, MT 59101 | 2016-12-07 |
| Find all providers in zip 59101 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274185 | Primrose Inc | Assisted Living Facility | 1349 Lake Elmo Dr, Billings, MT 59105-1759 | 2020-10-26 |
| 1013548759 | J&j Caregivers, LLC | Assisted Living Facility | 1839 Venus Cir, Billings, MT 59105-3811 | 2020-01-31 |
| 1477108397 | The Legacy Assisted Living LLC | Assisted Living Facility | 810 Wicks Ln, Billings, MT 59105-4426 | 2019-08-07 |
| 1972974046 | Lasting Legacy Assisted Living, LLC | Assisted Living Facility | 1636 Inverness Dr, Billings, MT 59105-3518 | 2015-10-14 |
| 1407266224 | Grand Park, LLC | Assisted Living Facility | 1221 28th St W, Billings, MT 59102-3790 | 2014-05-01 |
| 1013290501 | Amy L Adams | Assisted Living Facility | 3932 Palisades Park Dr, Billings, MT 59102-0134 | 2011-09-21 |
| 1295941847 | Missions United, Inc. | Assisted Living Facility | 3840 Rimrock Rd, Billings, MT 59102-0100 | 2007-05-14 |
| 1972623478 | Adult Home Care Services | Assisted Living Facility | 106 Erickson Ct N, Billings, MT 59105-2363 | 2007-03-29 |
| 1417074436 | Tendernest LLC | Assisted Living Facility | 4001 Parkhill Dr, Billings, MT 59106-1713 | 2007-03-23 |
| 1528199395 | Autumn Springs Assisted Living | Assisted Living Facility | 3758 Avenue B, Billings, MT 59102-7640 | 2007-03-07 |
| Find all providers in BILLINGS | ||||
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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.