CARLIE WAGNER (NPI# 1124572623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124572623 |
| Entity Type | Individual |
| Full Name | CARLIE WAGNER |
| Practice Address |
1330 S Potomac St Ste 104a Aurora CO 80012-4527 |
| Practice Telephone | 3032822654 |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
12108 | CO | Behavioral Health & Social Service Providers |
| Street Address |
1330 S POTOMAC ST STE 104A |
| City | AURORA |
| State | CO |
| Zip Code | 80012-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831404326 | David Tyler Coyle | Preventive Medicine | 1330 S Potomac St Ste 104a, Aurora, CO 80012-4527 | 2010-08-10 |
| 1275831950 | Jenny Wiltshire | Licensed Practical Nurse | 1330 S Potomac St Ste 104a, Aurora, CO 80012-4527 | 2011-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650765 | Veronica Kabuika | Specialist/Technologist, Other | 6792 E Tennessee Ave, Suite 645, Denver, CO 80012 | 2020-05-07 |
| 1811547631 | Aurora Dental and Orthodontics Pllc | Dentist | 15000 E Mississippi Ave, Aurora, CO 80012 | 2019-09-13 |
| 1306362108 | Melynda Barrios | Massage Therapist | 11912 E Nevada Cir, Aurora, CO 80012 | 2017-08-14 |
| 1851815633 | Gabriela Alejandra Perez-saenz | Audiologist | 1550 S. Potomac St. #305, Aurora, CO 80012 | 2017-08-02 |
| 1568991511 | Iora Health Colorado, P.C. | Internal Medicine | 1080 S. Sable Blvd., Aurora, CO 80012 | 2017-06-05 |
| 1275069734 | Sandra Pacheco | Case Manager/Care Coordinator | 10782 E Alameda Avenue, Aurora, CO 80012 | 2017-05-03 |
| 1578002010 | Green Taxi Corporation | Taxi | 10 S Havana St #103, Aurora, CO 80012 | 2017-02-16 |
| 1104372713 | Moss LLC | Non-emergency Medical Transport (VAN) | 950 S Cimmaron Way Unit K-201, Aurora, CO 80012 | 2016-09-01 |
| 1023461647 | Thompson Sowash | Optometrist | 13955 E Mississippi, Aurora, CO 80012 | 2016-07-19 |
| 1598117731 | Act of Kindness LLC | Respite Care | 1010 S Joliet Street Suite #101, Aurora, CO 80012 | 2016-07-12 |
| Find all providers in zip 80012 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104636 | Anastasia Canfield | Counselor | 12341 E Cornell Ave # 18, Aurora, CO 80014-3323 | 2020-11-07 |
| 1578192555 | Erin L Graves | Counselor | 13791 E Rice Pl Ste 115, Aurora, CO 80015-1079 | 2020-04-02 |
| 1538705330 | Johnathan Dunn | Counselor | 140 S. Lincoln Ave., Aurora, IL 60505 | 2019-11-27 |
| 1356985071 | Richard Yeager | Counselor | 2851 S Parker Rd Ste 1040, Aurora, CO 80014-2723 | 2019-11-06 |
| 1679128326 | Heather Hartleroad | Counselor | 21699 E Quincy Ave Unit F, #352, Aurora, CO 80015 | 2019-08-08 |
| 1477037729 | Melanie J Hart | Counselor | 23548 E Ottawa Pl, Aurora, CO 80016-4242 | 2018-09-22 |
| 1679056063 | Elisabeth Anne Kaplan | Counselor | 1329 N Lake St, Aurora, IL 60506-2409 | 2018-09-11 |
| 1679056477 | Natasha Ann Jackson | Counselor | 2899 S Xanadu Way, Aurora, CO 80014-3448 | 2018-09-08 |
| 1649771148 | Zachary N. Meers | Counselor | 4255 Westbrook Dr Ste 206, Aurora, IL 60504-8125 | 2018-02-21 |
| 1205349701 | Nicole Mahan | Counselor | 2067 Stephen St, Aurora, IL 60502-7173 | 2017-11-07 |
| Find all providers in AURORA | ||||
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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.