KIRSTEN U WAGNER (NPI# 1275648149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275648149 |
| Entity Type | Individual |
| Full Name | KIRSTEN U WAGNER |
| Credential | FNP |
| Practice Address |
4314 W Slauson Ave Los Angeles CA 90043 |
| Practice Telephone | 3232937171 |
| Practice Fax Number | 3105312084 |
| Mailing Telephone | 3232937171 |
| Mailing Fax Number | 3105312084 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 10936 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOARD OF REG NURSING | NP10936 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114390242 | Kirsten Wagner | Student in an Organized Health Care Education/Training Program | 10 Lightning Trl, Fairfield, PA 17320-9748 | 2015-11-11 |
| 1518925999 | Kirsten E Wagner | Psychiatry & Neurology | 6067 Piney Grove Way, Gainesville, VA 20155-6671 | 2006-05-03 |
| 1023507472 | Kirsten Suzanne Wagner | Speech-Language Pathologist | 3035 Wooster Rd, Rocky River, OH 44116 | 2018-05-01 |
| 1477948511 | Kirsten Wagner | Ophthalmology | 4151 Foothill Rd, Santa Barbara, CA 93110-1110 | 2015-04-06 |
| Street Address |
4314 W SLAUSON AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285635102 | Francine Atterberry | Pediatrics | 4314 W Slauson Ave, Los Angeles, CA 90043-2854 | 2005-08-02 |
| 1962049395 | Health Care In Los Angeles | Counselor | 4314 W Slauson Ave, Los Angeles, CA 90043-2808 | 2019-12-04 |
| 1457850125 | Wellpathrx Inc | Pharmacy | 4314 W Slauson Ave, Suite 1, Los Angeles, CA 90043-2808 | 2018-02-07 |
| 1043699093 | Cale Allen Franklin | Pediatrics | 4314 W Slauson Ave, Los Angeles, CA 90043-2808 | 2015-05-22 |
| 1508061011 | Michelle J Min | Nurse Practitioner | 4314 W Slauson Ave, Los Angeles, CA 90043-2808 | 2007-06-15 |
| 1801883038 | Carmel Nichole Raphael | Physician Assistant | 4314 W Slauson Ave, Los Angeles, CA 90043-2808 | 2005-10-03 |
| 1588665798 | Kenneth Ho | Internal Medicine | 4314 W Slauson Ave, Los Angeles, CA 90043-2808 | 2005-08-10 |
| 1114928686 | Huey-jer Su | Internal Medicine | 4314 W Slauson Ave, Los Angeles, CA 90043-2854 | 2005-08-09 |
| 1205837697 | Carl Feld | Internal Medicine | 4314 W Slauson Ave, Los Angeles, CA 90043-2854 | 2005-08-09 |
| 1821099227 | Axminster Medical Group | Family Medicine | 4314 W Slauson Ave, Los Angeles, CA 90043-2854 | 2005-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841772209 | Ichizo Yamada | Counselor | 5318 S Crenshaw Blvd., Los Angeles, CA 90043 | 2018-09-02 |
| 1568961613 | Marnelle Mascardo | Counselor | 5318 S. Crenshaw Blvd., Los Angeles, CA 90043 | 2018-02-05 |
| 1700315199 | Positive Imagery Foundation | Prevention Professional | 5906 7th Avenue, Suite 1, Los Angeles, CA 90043 | 2017-06-08 |
| 1770946303 | Toby Lapesarde | Licensed Vocational Nurse | 5300 Angeles Vista Boulevard, Los Angeles, CA 90043 | 2016-03-31 |
| 1134591480 | Coast Wise Solution | Case Management | 2728 54th St, Los Angeles, CA 90043 | 2015-10-27 |
| 1033589155 | Nina Gonzaga | Marriage & Family Therapist | 4401 Crendshaw Blvd, #300, Los Angeles, CA 90043 | 2015-10-01 |
| 1861743189 | Donna M. Tizenor-tate | Counselor | 5300 Angeles Vista Blvd., Los Angeles, CA 90043 | 2012-09-26 |
| 1952657736 | Willie Frank Sibley Jr. | General Practice | 4330 Monteith Dr, Los Angeles, CA 90043 | 2012-07-30 |
| 1639449119 | Nelson M Okeke | Counselor | 8814 S. Western Ave, La, CA 90043 | 2011-12-30 |
| 1578840799 | Economic Services, Incorporated | Exclusive Provider Organization | 5144 Crenshaw Blvd., Los Angeles, CA 90043 | 2011-11-16 |
| Find all providers in zip 90043 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845700 | Amber Li | Nurse Practitioner | 3852 Bostwick St, Los Angeles, CA 90063-1765 | 2020-09-11 |
| 1750995916 | Yeranui Stepanyan Np Advance Practice Nursing Apc | Nurse Practitioner | 1711 W Temple St Fl 1, Los Angeles, CA 90026-7329 | 2020-09-04 |
| 1255943452 | Emily Wright | Nurse Practitioner | 11500 W Olympic Blvd Ste 570, Los Angeles, CA 90064-1536 | 2020-08-19 |
| 1174134472 | Hanna Song | Nurse Practitioner | 1234 Wilshire Blvd Apt 437, Los Angeles, CA 90017-1983 | 2020-08-11 |
| 1760090351 | Katherine Tran | Nurse Practitioner | 11120 Queensland St Unit B11, Los Angeles, CA 90034-5230 | 2020-07-20 |
| 1811512072 | Annabel Jeng | Nurse Practitioner | 3360 Isabel Dr, Los Angeles, CA 90065-1931 | 2020-06-13 |
| 1205465994 | Tania Parhami | Nurse Practitioner | 2045 S Bentley Ave Apt 201, Los Angeles, CA 90025-5673 | 2020-04-03 |
| 1205466349 | Laura Madeline Locke | Nurse Practitioner | 127 S San Vicente Blvd Ste 6600, Los Angeles, CA 90048-3311 | 2020-01-16 |
| 1629616412 | Marcie Lynn Hulpa | Nurse Practitioner | 11812 Gorham Ave Apt 203, Los Angeles, CA 90049-5491 | 2019-12-12 |
| 1457901183 | Alexandria Rebecca Borys | Nurse Practitioner | 200 Ucla Medical Plz Ste B265b2, Los Angeles, CA 90095-8344 | 2019-09-15 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90043 |
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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.