MRS. TERESA J. WAGNER (NPI# 1255663605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255663605 |
| Entity Type | Individual |
| Full Name | MRS. TERESA J. WAGNER |
| Credential | R.N. |
| Practice Address |
801 Park Ave Minneapolis MN 55404-1136 |
| Mailing Address |
3641 Logan Ave N Minneapolis MN 55412-1949 |
| Practice Telephone | 6123433265 |
| Practice Fax Number | 6123433267 |
| Mailing Telephone | 6123433265 |
| Mailing Fax Number | 6123433267 |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2010-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | R125206-4 | MN | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275096364 | Teresa L Wagner | Dietitian, Registered | 5841 Recreation Dr Apt 2404, Fort Worth, TX 76109-1068 | 2019-04-08 |
| 1306212022 | Teresa Wagner | Licensed Practical Nurse | 131 E Columbia Ave., Suite 115, Battle Creek, MI 49015 | 2015-08-17 |
| 1336271477 | Teresa Lee Wagner | Social Worker | 215 N Geneva St, Ithaca, NY 14850-4135 | 2007-03-12 |
| 1033215181 | Teresa Wagner | Internal Medicine | 1560 N 115th St Ste G10, Seattle, WA 98133-8414 | 2006-09-16 |
| 1114484714 | Teresa Wagner | Assisted Living Facility | 1341 Rosebud Ln, Billings, MT 59101-6527 | 2019-03-01 |
| 1770969750 | Teresa Wagner | Dietitian, Registered | 45 Snelling Ave N, Saint Paul, MN 55104-6842 | 2015-08-03 |
| 1184744955 | Teresa A Wagner | Counselor | 65-1206 Mamalahoa Hwy, Kamuela, HI 96743-7303 | 2007-03-29 |
| 1255487286 | Teresa Michelle Wagner | Physical Therapist | 807 N Tyndall Pkwy, Panama City, FL 32404-9495 | 2007-01-25 |
| 1063572717 | Teresa Moore Wagner | Registered Nurse | 150 Duncan Road, Buckeye, WV 24924-9037 | 2006-12-11 |
| Street Address |
801 PARK AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-1136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386059152 | Morgan Elizabeth Raehsler | Case Manager/Care Coordinator | 801 Park Ave, Minneapolis, MN 55404-1136 | 2014-06-30 |
| 1184043077 | Chelsey Marie Schmidt | Genetic Counselor, MS | 801 Park Ave, Minneapolis, MN 55404-1136 | 2014-04-08 |
| 1871912766 | Amanda Mae Flynn | Case Manager/Care Coordinator | 801 Park Ave, Minneapolis, MN 55404-1136 | 2014-04-08 |
| 1003164492 | Rachel Foss | Registered Nurse | 801 Park Ave, Minneapolis, MN 55404-1136 | 2012-08-16 |
| 1992053300 | Farhiya Gaiyte | Licensed Practical Nurse | 801 Park Ave, Minneapolis, MN 55404-1136 | 2012-08-16 |
| 1598013906 | Emilly Moraa Ondara | Registered Nurse | 801 Park Ave, Minneapolis, MN 55404-1136 | 2012-08-16 |
| 1003164419 | Tiffany Woynilko | Registered Nurse | 801 Park Ave, Minneapolis, MN 55404-1136 | 2012-08-16 |
| 1972825040 | Pamela L. Rocklage | Case Manager/Care Coordinator | 801 Park Ave, Minneapolis, MN 55404-1136 | 2010-02-17 |
| 1033441712 | Lisl E. Zamora | Case Manager/Care Coordinator | 801 Park Ave, Minneapolis, MN 55404-1136 | 2010-02-05 |
| 1457683047 | Michael E. Gibba | Case Manager/Care Coordinator | 801 Park Ave, Minneapolis, MN 55404-1136 | 2010-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134596075 | Lauren Nicole Kranig | Case Manager/Care Coordinator | 2445 Park Ave, Minneapolis, MN 55404-3714 | 2015-08-26 |
| 1467857052 | Abdi Jama | Case Manager/Care Coordinator | 1912 Stevens Ave Apt 308, Minneapolis, MN 55403-3883 | 2014-10-26 |
| 1326489691 | Amy E Rock | Case Manager/Care Coordinator | 3208 W Lake St # 102, Minneapolis, MN 55416-4512 | 2013-07-15 |
| 1386960698 | Sarah Hook | Case Manager/Care Coordinator | 1508 E Franklin Ave, Minneapolis, MN 55404-2157 | 2010-04-12 |
| 1700113214 | Dianne Mckenzie | Case Manager/Care Coordinator | 1309 Girard Ave N, Minneapolis, MN 55411-3128 | 2009-11-05 |
| 1982738555 | Sharlene Mae Walczak | Case Manager/Care Coordinator | 2003 Central Ave Ne, Minneapolis, MN 55418-4531 | 2007-03-15 |
| 1457983124 | Tara Marie Stevens | Case Manager/Care Coordinator | 2445 Park Ave, Minneapolis, MN 55404-3714 | 2020-02-10 |
| 1518599281 | Brittany Mae Fisher | Case Manager/Care Coordinator | 2445 Park Ave, Minneapolis, MN 55404-3714 | 2020-02-10 |
| 1568092062 | Renzo Mikolaj Junius Sauer | Case Manager/Care Coordinator | 3333 University Ave Se, Minneapolis, MN 55414-3325 | 2020-01-23 |
| 1700358090 | Ann Marie Crosby | Case Manager/Care Coordinator | 2400 W 64th St, Minneapolis, MN 55423-1001 | 2018-12-26 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
Please comment or provide details below to improve the information on MRS. TERESA J. 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.