NICOLE JONES WAGNER (NPI# 1265997605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265997605 |
| Entity Type | Individual |
| Full Name | NICOLE JONES WAGNER |
| Credential | PA-C |
| Practice Address |
1870 Pisgah Dr Hendersonville NC 28791-3759 |
| Mailing Address |
1726 Old Us 25 Hwy Zirconia NC 28790-8866 |
| Practice Telephone | 8288175309 |
| Mailing Telephone | 8288175309 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720353311 | Nicole Wagner | Occupational Therapist | 465 S Lawrence Blvd, Keystone Heights, FL 32656-9222 | 2012-03-14 |
| 1164759882 | Nicole L Wagner | Pharmacist | 6601 Watauga Rd Ste 126, Watauga, TX 76148-3331 | 2009-11-17 |
| 1295803476 | Nicole S Wagner | Psychologist | 29525 Chagrin Blvd Ste 313, Beachwood, OH 44122 | 2006-12-04 |
| 1396353272 | Nicole Wagner | Counselor | 1100 Hospital Dr, Batavia, OH 45103-1920 | 2020-07-16 |
| 1114562097 | Nicole Kristin Wagner | Pharmacist | 17105 San Carlos Blvd, Fort Myers Beach, FL 33931-5305 | 2019-11-14 |
| 1841844925 | Nicole Doris Wagner | Occupational Therapist | 7430 W Commercial Blvd, Lauderhill, FL 33319-2130 | 2019-07-28 |
| 1417415506 | Nicole Wagner | Social Worker | 280 Dobbs Ferry Rd Ste 303, White Plains, NY 10607-1900 | 2019-03-07 |
| 1881198059 | Nicole Wagner | Nurse Practitioner | 306 Race St, Holyoke, MA 01040-5720 | 2018-03-21 |
| 1942627484 | Nicole J Wagner | Nurse Practitioner | 975 Port Washington Rd, Grafton, WI 53024-9201 | 2014-03-22 |
| 1154759033 | Nicole Wagner | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main St, Grass Valley, CA 95945 | 2013-10-31 |
| Street Address |
1870 PISGAH DR |
| City | HENDERSONVILLE |
| State | NC |
| Zip Code | 28791-3759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326169285 | Ssc Hendersonville Operating Company LLC | Custodial Care Facility | 1870 Pisgah Dr, Hendersonville, NC 28791-3759 | 2007-04-02 |
| 1003464017 | John V Walker | Physical Therapy Assistant | 1870 Pisgah Dr, Hendersonville, NC 28791-3759 | 2019-09-03 |
| 1588212161 | Shannon Lyle Peterson | Occupational Therapy Assistant | 1870 Pisgah Dr, Hendersonville, NC 28791-3759 | 2019-08-28 |
| 1306494711 | Beth Lynn Galloway | Occupational Therapy Assistant | 1870 Pisgah Dr, Hendersonville, NC 28791-3759 | 2019-08-28 |
| 1134786684 | Stacey Leigh Gresock | Speech-Language Pathologist | 1870 Pisgah Dr, Hendersonville, NC 28791-3759 | 2019-05-21 |
| 1205493889 | Angela Ruggles | Speech-Language Pathologist | 1870 Pisgah Dr, Hendersonville, NC 28791-3759 | 2019-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982064085 | Daniel Mick | Chiropractor | 1721 Brevard Rd., Hendersonville, NC 28791 | 2016-03-02 |
| 1215393194 | Mark Claar | Physician Assistant | 2315 Asheville Hwy Ste 20, Hendersonville, NC 28791 | 2016-01-08 |
| 1528400777 | Heather L Strauss | Physician Assistant | 800 North Justice St, Henderson Co Hosp Corp Dba Pardee Medical Associates, Hendersonville, NC 28791 | 2013-07-29 |
| 1891029708 | Sara Brady Fraboni | Pharmacist | 1148 Asheville Highway, Asheville, NC 28791 | 2009-09-24 |
| 1578730362 | Edward Frederick Block Iv | Acupuncturist | 2024 Asheville Hwy, Suite H, Hendersonville, NC 28791 | 2008-05-12 |
| 1629268511 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 2500 Heritage Circle, Hendersonville, NC 28791 | 2007-07-27 |
| 1184836223 | Fred Hamilton Rindge Iv | Chiropractor | 619 Oakland St, Hendersonville, NC 28791 | 2007-05-03 |
| 1912022989 | Laurel Park Medical Centre Pharmacy | Pharmacist | 1881 Pisgah Dr., Hendersonville, NC 28791 | 2007-03-20 |
| 1538236153 | Elizabeth N Lima | Psychologist | 709 North Justice Street, Suite B, Hendersonville, NC 28791 | 2006-11-29 |
| 1144394123 | Kenneth L Merritt Jr. | Dentist | 687 B Blythe St Ct, Hendersonville, NC 28791 | 2006-11-20 |
| Find all providers in zip 28791 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740762665 | Erin Jenkins | Physician Assistant | 107 Liberty Cv, Hendersonville, TN 37075-5547 | 2018-09-06 |
| 1710337126 | Starcey Megan Bacon | Physician Assistant | 211 Indian Lake Blvd Ste C, Hendersonville, TN 37075-6214 | 2016-06-16 |
| 1003279589 | Grant Anderson | Physician Assistant | 211 Indian Lake Bloulevard, Hendersonville, TN 37075 | 2016-04-01 |
| 1215393194 | Mark Claar | Physician Assistant | 2315 Asheville Hwy Ste 20, Hendersonville, NC 28791 | 2016-01-08 |
| 1720480304 | Jacqueline Wallenborn | Physician Assistant | 212 Thompson St, Hendersonville, NC 28792-2806 | 2014-09-25 |
| 1477977312 | James Joseph Mcgann | Physician Assistant | 800 N Justice St # 16, Hendersonville, NC 28791-3410 | 2014-02-12 |
| 1164844874 | Lynn Amanda Howard | Physician Assistant | 2579 Chimney Rock Road, Hendersonville, NC 28792 | 2014-01-15 |
| 1285062760 | Lauren Renee Hanson | Physician Assistant | Digestive Health Partners Pa, 1032 Fleming Street, Hendersonville, NC 28791-3532 | 2013-10-21 |
| 1528400777 | Heather L Strauss | Physician Assistant | 800 North Justice St, Henderson Co Hosp Corp Dba Pardee Medical Associates, Hendersonville, NC 28791 | 2013-07-29 |
| 1346480159 | Frank W Ritz | Physician Assistant | 220 5th Ave E, Hendersonville, NC 28792-4377 | 2009-03-06 |
| Find all providers in HENDERSONVILLE | ||||
| City | HENDERSONVILLE |
| Zip Code | 28791 |
Please comment or provide details below to improve the information on NICOLE JONES 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.