CORRENA KAYE WAGNER (NPI# 1184268013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184268013 |
| Entity Type | Individual |
| Full Name | CORRENA KAYE WAGNER |
| Practice Address |
2789 Ortiz Ave Fort Myers FL 33905-7806 |
| Mailing Address |
3763 Evans Ave Fort Myers FL 33901-9302 |
| Practice Telephone | 2392400884 |
| Mailing Telephone | 2392753222 |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
2789 ORTIZ AVE |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33905-7806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851377402 | Debra Marie Danley | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2005-12-15 |
| 1043822109 | Bridget Gilmore | Counselor | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2020-08-20 |
| 1104452465 | Marcela Checa | Case Manager/Care Coordinator | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2020-03-19 |
| 1982230371 | Johanna Mulvihill | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2020-03-17 |
| 1407480270 | Tatiana Chang | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2020-03-02 |
| 1821622630 | Vanessa Mcnair | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2020-03-02 |
| 1316571177 | Elizabeth Ann Ireland | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2020-03-02 |
| 1780222125 | Melissa N Rodriguez | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2019-12-17 |
| 1588202352 | Heather Elizabeth Mossotti | Social Worker | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2019-12-12 |
| 1528604287 | Jean Patton | Case Manager/Care Coordinator | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2019-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811476211 | Lisa Nicole Campbell | Nurse Practitioner | 2850 Via Campania St, Fort Myers, FL 33905 | 2018-08-07 |
| 1538670260 | Doctorguarin LLC | Clinic/Center | 3143 Antica St, Fort Myers, FL 33905 | 2017-10-20 |
| 1366828931 | Dawn Bradley Arnp Pllc | Nurse Practitioner | 3056 Champion Ring Rd, Ft Myers, FL 33905 | 2015-08-06 |
| 1720480551 | Yohana Pierre Villarroel | Licensed Practical Nurse | 2789 Ortiz Ave., Fort Myers, FL 33905 | 2014-09-24 |
| 1639592090 | Hamprenate Service | Case Manager/Care Coordinator | 2789 Oritz Avenue, Fort Myere, FL 33905 | 2014-01-21 |
| 1255688743 | Ronak B Patel | Pharmacist | 9365 Via Murano Ct, Fort Myers, FL 33905 | 2012-08-14 |
| 1477824852 | Joseph Francis Kusiak | Plastic Surgery | 3320 Shady Bend, Fort Myers, FL 33905 | 2012-01-18 |
| 1336447838 | Vicky Brooks | Nurse Practitioner | 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905 | 2011-03-08 |
| 1790898666 | Access Medical South, Lc | Durable Medical Equipment & Medical Supplies | 5701 Country Lakes Dr., Suite 20, Ft. Myers, FL 33905 | 2006-08-16 |
| 1780691600 | Arthur Lee Strauss | Social Worker | 6000 South Dixie Hwy, Suite B, West Palm Beach, FL 33905 | 2006-08-02 |
| Find all providers in zip 33905 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393825 | A Peaceful Mind Counseling Group | Counselor | 12381 S Cleveland Ave Ste 205, Fort Myers, FL 33907-3850 | 2019-05-29 |
| 1932674538 | Florida Treatment for Change Inc | Counselor | 2180 Maravilla Ln Ste 1, Fort Myers, FL 33901-7221 | 2018-10-10 |
| 1306394283 | Daniel J. Callahan | Counselor | 18070 S Tamiami Trl Ste 11, Fort Myers, FL 33908-4602 | 2016-09-20 |
| 1831592765 | Caroline Hofmann | Counselor | 3677 Central Ave Ste I, Fort Myers, FL 33901-8226 | 2014-10-07 |
| 1770984296 | Jabneel Torres | Counselor | 8359 Beacon Blvd Ste 312, Fort Myers, FL 33907-3062 | 2014-09-16 |
| 1740680537 | Thomas Steven Hill | Counselor | 2450 Prince St, Fort Myers, FL 33916-5400 | 2014-08-28 |
| 1235796426 | Anthony Garcia | Counselor | 12381 S Cleveland Ave, Fort Myers, FL 33907-3893 | 2019-05-22 |
| 1104388545 | Billie S Napper-bodway | Counselor | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2019-04-04 |
| 1750859732 | Wsop Services, LLC | Counselor | 1870 Colonial Blvd, Fort Myers, FL 33907-1301 | 2018-11-07 |
| 1174037691 | Windy Gavin | Counselor | 2789 Ortiz Ave, Fort Myers, FL 33905 | 2017-11-20 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33905 |
Please comment or provide details below to improve the information on CORRENA KAYE WAGNER.
| 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.