KRISTEN JEAN WAGAMAN (NPI# 1275617854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275617854 |
| Entity Type | Individual |
| Full Name | KRISTEN JEAN WAGAMAN |
| Other Name | KRISTEN JEAN BOCKENSTEDT |
| Credential | ARNP |
| Practice Address |
75 Short St Nw Cedar Rapids IA 52405 |
| Mailing Address |
75 Short St Nw Cedar Rapids IA 52405-4203 |
| Practice Telephone | 3193903223 |
| Practice Fax Number | 3193907532 |
| Mailing Telephone | 3193903223 |
| Mailing Fax Number | 3193907532 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2018-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
89760 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
75 SHORT ST NW |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598724973 | Diane Norton | Nurse Practitioner | 75 Short St Nw, Cedar Rapids, IA 52405-4203 | 2006-03-22 |
| 1366648891 | Mercy Physician Associates | Nurse Practitioner | 75 Short St Nw, Cedar Rapids, IA 52405-4203 | 2007-06-22 |
| 1003835661 | Patrick Barnes | Pharmacist | 75 Short St Nw, Cedar Rapids, IA 52405-4203 | 2006-07-18 |
| 1679508196 | Barnes Pharmaceuticals Inc | Pharmacist | 75 Short St Nw, Cedar Rapids, IA 52405-4203 | 2006-07-12 |
| 1861452633 | John Brownell | Family Medicine | 75 Short St Nw, Cedar Rapids, IA 52405-4203 | 2006-03-25 |
| 1083674824 | John Banks | Family Medicine | 75 Short St Nw, Cedar Rapids, IA 52405-4203 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104316108 | Family Foot Care Clinic, PC | Podiatrist | 3200 F Avenue Nw, Cedar Rapids, IA 52405 | 2018-05-15 |
| 1497202923 | Mary Frances Schmidt-luhring | Counselor | 3100 E Ave Nw, Suite 105, Heart and Solutions, LLC, Cedar Rapids, IA 52405 | 2016-09-01 |
| 1013298116 | Daniel Hernandez | Non-emergency Medical Transport (VAN) | 408 Day St Northwest, Cedar Rapids, IA 52405 | 2011-09-01 |
| 1528374758 | Matthew Lorenzo Vasquez | Social Worker | 3113 1st Ave Nw, Cedar Rapid, IA 52405 | 2010-08-25 |
| 1770643470 | Douglas P Dvorak | Chiropractor | 1427 6th St Nw, Cedar Rapids, IA 52405 | 2006-12-11 |
| 1144396326 | West Ridge Associates Inc | Skilled Nursing Facility | 3131 F Ave Nw, Cedar Rapids, IA 52405 | 2006-11-28 |
| 1134120405 | Toni Neta | Social Worker | 3100 E Avenue Nw, Suite 101, Cedar Rapids, IA 52405 | 2005-08-09 |
| 1013918051 | Carol Ogea | Social Worker | 3100 E Ave Nw, Ste 101, Cedar Rapids, IA 52405 | 2005-08-01 |
| 1043678717 | Nancy Muir | Social Worker | 520 11th St Nw, Abbe Center for Community Mental Health, Cedar Rapids, IA 52405 | 2016-02-09 |
| 1215257019 | Katie Moon | Counselor | 520 11th St Nw, Abbe Center Community Mental Health, Cedar Rapids, IA 52405 | 2010-06-03 |
| Find all providers in zip 52405 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607936 | Alisse Anna Diers | Nurse Practitioner | 346 2nd Ave Sw # 303, Cedar Rapids, IA 52404-2045 | 2020-10-21 |
| 1134754575 | Jennifer M Magsamen | Nurse Practitioner | 1026 A Ave Ne Fl 5, Cedar Rapids, IA 52402-5036 | 2020-03-05 |
| 1043859242 | Ankit R Parikh | Nurse Practitioner | 5264 Council St Ne Ste 100, Cedar Rapids, IA 52402-2499 | 2020-01-06 |
| 1487202255 | Brenna Elaine Steckler | Nurse Practitioner | 6514 Ohio St Sw, Cedar Rapids, IA 52404-5441 | 2019-08-26 |
| 1366906703 | Brigitte Kamtal Toingar | Nurse Practitioner | 369 Willshire Ct Ne, Cedar Rapids, IA 52402-6922 | 2019-01-30 |
| 1720567407 | Rachel Ann Blackford | Nurse Practitioner | 1630 42nd St Ne Ste F, Cedar Rapids, IA 52402-3063 | 2018-08-13 |
| 1952812679 | Hillary Behn | Nurse Practitioner | 788 8th Ave Se Ste 400, Cedar Rapids, IA 52401-2108 | 2017-10-20 |
| 1740699925 | Denise Younke | Nurse Practitioner | 2822 Glen Elm Dr Ne, Cedar Rapids, IA 52402-2618 | 2014-08-12 |
| 1598198061 | Katie T Huether | Nurse Practitioner | 1020 Prairie Dr Ne, Cedar Rapids, IA 52402-4728 | 2013-08-19 |
| 1497952170 | Mercy Physician Associates, Inc | Nurse Practitioner | 600 7th St Se Ste 100, Cedar Rapids, IA 52401-2120 | 2007-06-27 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52405 |
Please comment or provide details below to improve the information on KRISTEN JEAN WAGAMAN.
| 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.