DR. AMY LYNN WAGNER (NPI# 1225381999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225381999 |
| Entity Type | Individual |
| Full Name | DR. AMY LYNN WAGNER |
| Credential | N.D |
| Practice Address |
2919 S Ellsworth Rd Suite 109 Mesa AZ 85212-2164 |
| Practice Telephone | 4803575555 |
| Practice Fax Number | 4803570011 |
| Mailing Telephone | 4803575555 |
| Mailing Fax Number | 4803570011 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2015-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 12-1336 | AZ | Other Service Providers |
| 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 |
| 1174186217 | Amy Marie Wagner | Student in an Organized Health Care Education/Training Program | 6901 Bertner Ave, Houston, TX 77030-3901 | 2019-04-15 |
| 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 |
| Street Address |
2919 S ELLSWORTH RD SUITE 109 |
| City | MESA |
| State | AZ |
| Zip Code | 85212-2164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972502862 | Gabriel U. Ogbonnaya | Internal Medicine | 2919 S Ellsworth Rd, Suite # 124, Mesa, AZ 85212-2164 | 2005-07-21 |
| 1154774305 | Mesa Physical Medicine Pllc | Nurse Practitioner | 2919 S Ellsworth Rd, Suite 102, Mesa, AZ 85212-2164 | 2016-07-22 |
| 1912331158 | Southwest Spine & Rehab Pllc | Chiropractor | 2919 S Ellsworth Rd, Suite 102, Mesa, AZ 85212-2164 | 2013-08-23 |
| 1023381340 | Scott Alexander Taylor | Chiropractor | 2919 S Ellsworth Rd, 102, Mesa, AZ 85212-2164 | 2012-02-16 |
| 1326344375 | Choice Medical Imaging of Arizona, LLC | Clinic/Center | 2919 S Ellsworth Rd, Suite 101, Mesa, AZ 85212-2164 | 2011-02-08 |
| 1881928273 | Kate Ashley Maine | Physician Assistant | 2919 S Ellsworth Rd, Mesa, AZ 85212-2164 | 2009-10-01 |
| 1710148663 | Custom Smile LLC | Dentist | 2919 S Ellsworth Rd, Suite 141, Mesa, AZ 85212-2164 | 2008-06-23 |
| 1508024175 | Aimee Lynn Hada | Physician Assistant | 2919 S Ellsworth Rd, Ste. 124, Mesa, AZ 85212-2164 | 2008-05-29 |
| 1003089301 | Kristy K Brown | Speech-Language Pathologist | 2919 S Ellsworth Rd, Suite 111, Mesa, AZ 85212-2164 | 2008-04-08 |
| 1003089384 | Deborah A Mordhorst | Physical Therapist | 2919 S Ellsworth Rd, Suite 111, Mesa, AZ 85212-2164 | 2008-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
| 1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
| 1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
| 1205355880 | Linda Okafor | Nurse Practitioner | 4719 S Calderon Circle, Mesa, AZ 85212 | 2017-09-14 |
| 1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
| 1861841918 | Ryan Blake | Dentist | 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 | 2016-06-09 |
| 1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
| Find all providers in zip 85212 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624360 | Kayla Amin | Naturopath | 601 S Alma School Rd Apt 273, Mesa, AZ 85210-1103 | 2020-06-22 |
| 1306479258 | Michela S. Nelson | Naturopath | 5450 E Mclellan Rd Unit 256, Mesa, AZ 85205-3457 | 2020-02-19 |
| 1235770587 | David Gallegos | Naturopath | 205 E Southern Ave Ste 103, Mesa, AZ 85210-5401 | 2019-10-07 |
| 1538700604 | Aria Young | Naturopath | 506 W Nopal Ave, Mesa, AZ 85210-7442 | 2019-09-30 |
| 1184108284 | Eugene Robert Muro | Naturopath | 420 W Mahoney Ave, Mesa, AZ 85210-1238 | 2018-09-24 |
| 1154811842 | Courtney Renee Hawes | Naturopath | 3165 E University Dr Lot 809, Mesa, AZ 85213-8741 | 2018-05-17 |
| 1376057216 | Lynnette Fae Balentine | Naturopath | 1855 S Country Club Dr Ste 111, Mesa, AZ 85210-6124 | 2017-11-30 |
| 1356854269 | Rachel Ann Hesselbrock | Naturopath | 550 W Baseline Rd Ste 102-512, Mesa, AZ 85210-6031 | 2017-11-14 |
| 1750892550 | Konstantina E Adams | Naturopath | 1331 W Baseline Rd Unit 144, Mesa, AZ 85202-5823 | 2017-10-19 |
| 1841701059 | Charmainge James | Naturopath | 134 E June St, Mesa, AZ 85201-1816 | 2017-10-14 |
| Find all providers in MESA | ||||
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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.