AMY MARIE WAGNER (NPI# 1174186217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174186217 |
| Entity Type | Individual |
| Full Name | AMY MARIE WAGNER |
| Practice Address |
6901 Bertner Ave Houston TX 77030-3901 |
| Mailing Address |
1722 Elgin St Houston TX 77004-3018 |
| Practice Telephone | 7135002000 |
| Mailing Telephone | 7202561726 |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642937 | Amy Danielle Wagner | Marriage & Family Therapist | 523 Dixie St Ste 5, Carrollton, GA 30117-3870 | 2019-01-09 |
| 1649695628 | Amy L. Wagner | Behavioral Analyst | 1128 Beville Road, Suite A, Daytona Beach, FL 32114 | 2014-02-27 |
| 1538463997 | Amy Lyn Wagner | Occupational Therapist | 2820 E 53rd Ave, Apt # 48, Spokane, WA 99223-7962 | 2010-12-28 |
| 1710033097 | Amy E Wagner | Physical Therapist | 1428 S Marengo Ave, Alhambra, CA 91803-3001 | 2007-01-26 |
| 1568516698 | Amy Claire Wagner | Psychologist | 104 Central Park Ave, Wilmette, IL 60091-3202 | 2007-01-23 |
| 1639654437 | Amy Elizabeth Wagner | Speech-Language Pathologist | 631 Main Street, Richfield, PA 17086 | 2018-09-27 |
| 1568989697 | Amy S Wagner | Counselor | 3544 Edgewater Dr, Orlando, FL 32804-2922 | 2017-08-29 |
| 1942742804 | Amy Nicole Wagner | Nurse Practitioner | 150 N Robertson Blvd, Beverly Hills, CA 90211-2142 | 2016-11-09 |
| 1801340393 | Amy Wagner | Counselor | 2272 95th St, Unit 305, Naperville, IL 60564-8942 | 2016-08-12 |
| 1376997890 | Amy Wagner | Registered Nurse | 940 E 8th St, Traverse City, MI 49686-2893 | 2016-04-21 |
| Street Address |
6901 BERTNER AVE |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225261779 | Shannon A Kalkwarf | Nurse Practitioner | 6901 Bertner Ave, Suite 783, Houston, TX 77030-3901 | 2009-09-01 |
| 1225669740 | Zarqa Latif | Nurse Practitioner | 6901 Bertner Ave, Houston, TX 77030-3901 | 2020-02-03 |
| 1801436589 | Sameera Momin | Registered Nurse | 6901 Bertner Ave, Houston, TX 77030-3901 | 2020-01-10 |
| 1639732274 | Jessica Bartholomew | Family Medicine | 6901 Bertner Ave, Houston, TX 77030-3901 | 2019-04-18 |
| 1336602598 | Adeola Elizabeth Oyenuga | Nurse Practitioner | 6901 Bertner Ave, Houston, TX 77030-3901 | 2019-04-12 |
| 1891258174 | Alyssa Lamberth | Registered Nurse | 6901 Bertner Ave, Houston, TX 77030-3901 | 2019-04-12 |
| 1689137150 | Mark Dinning | Registered Nurse | 6901 Bertner Ave, Houston, TX 77030-3901 | 2019-04-10 |
| 1083177661 | Martin Cortes Nobleza | Registered Nurse | 6901 Bertner Ave, Houston, TX 77030-3901 | 2019-04-10 |
| 1295298040 | Sahar Nuri | Registered Nurse | 6901 Bertner Ave, Houston, TX 77030-3901 | 2019-04-09 |
| 1174086003 | Luisa M Alzate | Registered Nurse | 6901 Bertner Ave, Houston, TX 77030-3901 | 2019-04-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447865936 | Zhuoxuan Judy Cai | Student in an Organized Health Care Education/Training Program | 1400 Pressler St Fl 7703015, Houston, TX 77030-3722 | 2020-09-10 |
| 1255946109 | Idris Abdullah Badruddin | Student in an Organized Health Care Education/Training Program | 7911 Lawn Wood Ln, Houston, TX 77086-2325 | 2020-09-08 |
| 1427669209 | Omar Ahmed | Student in an Organized Health Care Education/Training Program | 7500 Cambridge St # 6510, Houston, TX 77054-2032 | 2020-08-13 |
| 1245840503 | Punit Pala | Student in an Organized Health Care Education/Training Program | 1550 Lakeside Enclave Dr, Houston, TX 77077-1684 | 2020-08-03 |
| 1932719374 | Atteeba Manzar | Student in an Organized Health Care Education/Training Program | 6550 Fannin St Ste 1661, Houston, TX 77030-2765 | 2020-07-31 |
| 1619595204 | Noah Collaco | Student in an Organized Health Care Education/Training Program | 3110 Gannett St, Houston, TX 77025-3826 | 2020-07-09 |
| 1629696273 | Esraa Elsamny | Student in an Organized Health Care Education/Training Program | 7676 Phoenix Dr Apt 1523, Houston, TX 77030-4725 | 2020-07-09 |
| 1194343988 | Melanie Leigh Painter | Student in an Organized Health Care Education/Training Program | 1505 City Nights Way, Houston, TX 77047-3405 | 2020-07-08 |
| 1467079608 | Emmanuella Adetoro Oduguwa | Student in an Organized Health Care Education/Training Program | 10918 Ranier Dr, Houston, TX 77031-1835 | 2020-07-04 |
| 1366069288 | Jacob Charles Kinskey | Student in an Organized Health Care Education/Training Program | Attn: Jacob Kinskey, Dept. of Pathology, 6550 Fannin St Ste Sm383, Houston, TX 77030-2717 | 2020-06-26 |
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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.