PENELOPE ANDREA WAGNER (NPI# 1164608477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164608477 |
| Entity Type | Individual |
| Full Name | PENELOPE ANDREA WAGNER |
| Credential | NP |
| Practice Address |
5920 Mcintyre St Golden CO 80403-7445 |
| Practice Telephone | 3039491250 |
| Mailing Telephone | 3039491250 |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2016-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0600X |
Registered Nurse Specialization: Gerontology |
RN-75898 | CO | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
5547 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 60500034 | 05 |
| Street Address |
5920 MCINTYRE ST |
| City | GOLDEN |
| State | CO |
| Zip Code | 80403-7445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215939541 | Timothy J Rodgers | Internal Medicine | 5920 Mcintyre St, Golden, CO 80403-7445 | 2005-05-31 |
| 1184256489 | Sylvia Knop | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2020-02-05 |
| 1578106696 | Nakia Fields | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2019-10-21 |
| 1598312456 | Joseph N Namongo | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2019-08-24 |
| 1437706769 | Elizabeth Claire Ingram | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2019-08-21 |
| 1699329029 | Amanda Griffith | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2019-07-24 |
| 1033672597 | Krystina Enriquez | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2019-04-11 |
| 1245716075 | Brittany Horrigan | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403 | 2018-07-15 |
| 1710463765 | Ciara Falzone | Physician Assistant | 5920 Mcintyre St, Golden, CO 80403 | 2018-07-12 |
| 1982199899 | Elizabeth Mweru Wambugu | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403 | 2018-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417229394 | Dami Ann Hughes | Massage Therapist | 19562 W 57th Circle, Golden, CO 80403 | 2012-02-07 |
| 1942446075 | Laura Brett | Speech-Language Pathologist | 16941 W 60th Dr, Arvada, CO 80403 | 2008-12-18 |
| 1952453664 | Jan M. Oxman | Psychologist | 17830 W. 53rd Drive, Golden, CO 80403 | 2007-01-16 |
| 1609935337 | Julie Ann Lindsay | Physical Therapist | 109 Rubey Dr, Suite G-h, Golden, CO 80403 | 2006-12-08 |
| 1285660936 | Theraphysics Partners of Colorado, Inc. | Physical Therapist | 112 N Rubey Dr Unit 135, Golden, CO 80403 | 2006-06-24 |
| 1811930043 | Cynthia K Petrinovic | Occupational Therapist | 3935 Douglas Mtn Drive, Golden, CO 80403 | 2006-06-14 |
| 1114463882 | Summit Speech and Language Therapy, LLC | Speech-Language Pathologist | 16941 W 60th Dr, Arvada, CO 80403 | 2017-01-18 |
| 1891183448 | Tracy Gardner | Speech-Language Pathologist | 5987 Dunraven St, Golden, CO 80403-1007 | 2015-01-06 |
| 1548665110 | Michelle Dawn | Registered Nurse | 5977 Dunraven St, Golden, CO 80403-1007 | 2014-10-25 |
| 1093927352 | Quality Home Living | Contractor | 5900 Blanca Ct, Golden, CO 80403-1023 | 2007-05-07 |
| Find all providers in zip 80403 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184256489 | Sylvia Knop | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2020-02-05 |
| 1578106696 | Nakia Fields | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2019-10-21 |
| 1699329029 | Amanda Griffith | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2019-07-24 |
| 1992221220 | Sarah Poythress | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2017-08-18 |
| 1033666458 | Javier Enriquez | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2016-09-01 |
| 1750751582 | Ryan Foley | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403 | 2015-10-06 |
| 1255642278 | Kelly Henrichs | Nurse Practitioner | 5920 Mcintyre Street, Golden, CO 80403-7445 | 2010-06-24 |
| 1699943258 | Thuy T. Nguyen | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2008-02-18 |
| 1598958761 | Carol Dolores Wier | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2007-08-21 |
| 1306908488 | Janice L. Hartley | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2006-12-14 |
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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.