MRS. KRISTIN DIANE WAGNER


Address: 915 W Maple, Columbus, KS 66725
Phone: 6204294988

MRS. KRISTIN DIANE WAGNER (NPI# 1205105624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205105624
Entity Type Individual
Full Name MRS. KRISTIN DIANE WAGNER
Credential A.P.R.N.
Practice Address 915 W Maple
Columbus
KS 66725
Practice Telephone 6204294988
Practice Fax Number 6204294978
Mailing Telephone 6204294988
Mailing Fax Number 6204294978
Enumeration Date 2011-12-14
Last Update Date 2014-10-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
53-75551-21 KS Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
53-75551-121 KS Physician Assistants & Advanced Practice Nursing Providers

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1053674945 Kristin L Wagner Nurse Practitioner 1729 Burrstone Rd, New Hartford, NY 13413-1001 2012-06-17
1992096812 Kristin St. Laurent Wagner Counselor 225 N 23rd St, Billings, MT 59101-2223 2011-04-26
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Office Location

Street Address 915 W MAPLE
City COLUMBUS
State KS
Zip Code 66725

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275836819 Kansas Medical Supply, Inc. Durable Medical Equipment & Medical Supplies 217 S Kansas Ave, Columbus, KS 66725 2010-12-20
1801941083 Mike Carpino Ford Mercury In Durable Medical Equipment & Medical Supplies Hwy 160 69 7 Jct, Columbus, KS 66725 2007-01-25
1780770099 Evans Drug Inc Pharmacy 116 W Pine, Columbus, KS 66725 2006-10-05
1750618351 Mercy Clinic Joplin LLC Clinic/Center 101 W Sycamore St, Columbus, KS 66725 2009-11-03
1871829812 Mercy Hospital Columbus General Acute Care Hospital 220 N Pennsylvania Ave, Columbus, KS 66725 2009-10-27
1598091530 Mercy Hospital Columbus Medicare Defined Swing Bed Unit 220 N Pennsylvania Ave, Columbus, KS 66725 2009-10-27
1356437677 Jason W Hulvey Pharmacist 116 W Pine, Columbus, KS 66725 2006-10-05
1386724995 County of Cherokee Public Health or Welfare 110 East Walnut, Columbus, KS 66725-0107 2006-10-17
1972699296 Evan P Mcnemar Pharmacist 116 W Pine, Columbus, KS 66725-0309 2006-10-05
1609963578 Medicalodges, Inc. Skilled Nursing Facility 101 Lee Ave, Columbus, KS 66725-1021 2006-10-10
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1063024354 Nathaniel Z Raidel Nurse Practitioner 5699 Sandalwood Blvd, Columbus, OH 43229-3420 2020-08-19
1174134332 Hailey Lyn Holman Nurse Practitioner 5141 W Broad St Ste 130, Columbus, OH 43228-1984 2020-08-12
1508475989 Kara Shroff Nurse Practitioner 1127 Dublin Rd, Columbus, OH 43215-1005 2020-07-30
1265050553 Mary Hoobler Nurse Practitioner 5059 N High St, Columbus, OH 43214-1589 2020-07-13
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Competitor

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City COLUMBUS
Zip Code 66725

Improve Information

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Dataset Information

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.

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