SHANNON MICHELLE WAGNER (NPI# 1255956512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255956512 |
| Entity Type | Individual |
| Full Name | SHANNON MICHELLE WAGNER |
| Credential | REGISTERED NURSE |
| Practice Address |
551 Broadway Eagle CO 81631 |
| Mailing Address |
Po Box 660 Eagle CO 81631-0660 |
| Practice Telephone | 9703288840 |
| Practice Fax Number | 8558488829 |
| Mailing Telephone | 9703288840 |
| Mailing Fax Number | 8558488829 |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 1625641 | CO | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780077 | Shannon Marie Wagner | Counselor | 2310 E Atlantic Blvd Bldg 2, Pompano Beach, FL 33062-5251 | 2020-05-06 |
| 1225686538 | Shannon Lee Wagner | Behavior Technician | 203 Union St, Manchester, CT 06042-1938 | 2019-08-29 |
| 1265073324 | Shannon Dee Wagner | Case Manager/Care Coordinator | 185 N 4th St, Saint Helens, OR 97051-1535 | 2019-09-30 |
| 1427512854 | Shannon Wagner | Behavior Technician | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2019-01-30 |
| 1437624079 | Shannon Wagner | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2018-10-10 |
| 1871832691 | Shannon Wagner | Speech-Language Pathologist | 125 Ryan Industrial Ct, San Ramon, CA 94583-1772 | 2013-02-14 |
| 1467590737 | Shannon Wagner | Community/Behavioral Health | 2086 Commerce Ave, Concord, CA 94520-4902 | 2007-02-01 |
| Street Address |
551 BROADWAY |
| City | EAGLE |
| State | CO |
| Zip Code | 81631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291405 | Mountain Family Health Centers | Clinic/Center | 551 Broadway, Eagle, CO 81631-0850 | 2018-07-09 |
| 1518414267 | Marivel Martinez Cuevas | Registered Nurse | 551 Broadway, Eagle, CO 81631-0660 | 2016-09-09 |
| 1598119356 | Eagle County Health and Human Services | Public Health or Welfare | 551 Broadway, Eagle, CO 81631 | 2016-04-19 |
| 1700259850 | Olimpia Michelle Valencia | Registered Nurse | 551 Broadway, Eagle, CO 81631-0660 | 2015-11-10 |
| 1801263819 | Joy Lynel Ariel | Registered Nurse | 551 Broadway, Eagle, CO 81631-0660 | 2015-08-25 |
| 1316329915 | Anne M Shainholtz | Registered Nurse | 551 Broadway, Eagle, CO 81631-0660 | 2015-06-19 |
| 1306236138 | Geralyn Carroll | Registered Nurse | 551 Broadway, Eagle, CO 81631 | 2015-02-02 |
| 1013337260 | Jennie L. Wahrer | Registered Nurse | 551 Broadway, Eagle, CO 81631-0660 | 2014-04-25 |
| 1477835783 | Brianna Marie Hiland | Registered Nurse | 551 Broadway, Eagle, CO 81631 | 2011-09-13 |
| 1225360878 | Anne Pauline Robinson | Registered Nurse | 551 Broadway, Eagle, CO 81631 | 2010-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215549662 | Andrea Browning | Social Worker | 2549 Salt Creek Road, Eagle, CO 81631 | 2020-08-18 |
| 1689213829 | Erin E Johnson | Pharmacist | 0103 Market Street, Eagle, CO 81631 | 2020-01-06 |
| 1821653825 | Lauren Lyn Ruhl | Counselor | 360 Eby Creek Road, Eagle, CO 81631 | 2019-05-06 |
| 1134626401 | Dawn Allison Nichols | Counselor | 137 Howard, Eagle, CO 81631 | 2018-04-12 |
| 1750886776 | Daniel Israel | Counselor | 137 Howard St., Eagle, CO 81631 | 2018-03-30 |
| 1962903005 | Lisa K Johnson | Massage Therapist | 717a Sylvan Lake Road, Eagle, CO 81631 | 2018-02-23 |
| 1922525815 | Susan Robinson | Physical Therapist | 1143 Capitol St, Unit 102b, Eagle, CO 81631 | 2017-08-23 |
| 1184148157 | Hallie Mclaughlin | Dental Hygienist | 530 Founders Ave, Eagle, CO 81631 | 2017-08-01 |
| 1780125252 | Brendan Quinn | Pharmacist | 264 Fulford Drive, Eagle, CO 81631 | 2017-03-16 |
| 1710428883 | Eagle Orthodontics, PC | Dentist | 011 Eagle Park Dr., Eagle, CO 81631 | 2017-03-09 |
| Find all providers in zip 81631 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316287907 | Jennifer Brittany Behn | Registered Nurse | S91w37885 Antique Ln, Eagle, WI 53119-1137 | 2013-02-19 |
| 1790037851 | Stacy L Diekmann | Registered Nurse | 710 Maple Dr, Eagle, NE 68347-2110 | 2012-10-12 |
| 1700149267 | Angela T Mcadams | Registered Nurse | 707 Tenderfoot Trail, Eagle, WI 53119-2220 | 2012-06-20 |
| 1033479696 | Bethany Joy Mello | Registered Nurse | 951 E Plaza Dr Ste 170, Eagle, ID 83616-6569 | 2012-05-16 |
| 1871764357 | Marisa M Phillips | Registered Nurse | 313 Larkin St, Eagle, WI 53119-2233 | 2008-03-12 |
| 1033176508 | Barbara Jean Werhane | Registered Nurse | 412 Pleasant St, Eagle, WI 53119 | 2006-04-28 |
| 1518414267 | Marivel Martinez Cuevas | Registered Nurse | 551 Broadway, Eagle, CO 81631-0660 | 2016-09-09 |
| 1316329915 | Anne M Shainholtz | Registered Nurse | 551 Broadway, Eagle, CO 81631-0660 | 2015-06-19 |
| 1013337260 | Jennie L. Wahrer | Registered Nurse | 551 Broadway, Eagle, CO 81631-0660 | 2014-04-25 |
| 1477835783 | Brianna Marie Hiland | Registered Nurse | 551 Broadway, Eagle, CO 81631 | 2011-09-13 |
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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.