ANDREA M WAGNER (NPI# 1285963157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285963157 |
| Entity Type | Individual |
| Full Name | ANDREA M WAGNER |
| Credential | FNP-C |
| Practice Address |
180 Atwater St N Monmouth OR 97361-1801 |
| Mailing Address |
320 Se Baker St Mcminnville OR 97128-6038 |
| Practice Telephone | 5036063288 |
| Practice Fax Number | 5036063287 |
| Mailing Telephone | 5034743600 |
| Mailing Fax Number | 5034743601 |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
200950140NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275921876 | Andrea Lavoy Wagner | Counselor | 1297 Park Ave, Chico, CA 95928-6175 | 2015-01-05 |
| 1265049779 | Andrea Louise Wagner | Counselor | 3737 40th Ave Nw, Rochester, MN 55901-1772 | 2020-09-29 |
| 1699327361 | Andrea Wagner | Speech-Language Pathologist | 5750 Dtc Pkwy Ste 170, Greenwood Village, CO 80111-5483 | 2019-07-12 |
| 1710479621 | Andrea Marie Wagner | Community Health Worker | 3253 Congress Ave, Saginaw, MI 48602-3106 | 2018-06-06 |
| 1710498068 | Andrea Stephanie Wagner | Social Worker | 82 Elm St, Westfield, NJ 07090-2158 | 2017-10-13 |
| 1972036960 | Andrea Wagner | Nurse Practitioner | 445 N Fenway Dr, Fenton, MI 48430-2666 | 2017-04-06 |
| 1366995078 | Andrea Wagner | Psychologist | 301 The City Dr S, Orange, CA 92868-3205 | 2016-07-28 |
| 1811127814 | Andrea Elizabeth Wagner | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2009-07-24 |
| 1043455397 | Andrea S Wagner | Nurse Practitioner | 700 Childrens Dr, Columbus, OH 43205-2664 | 2008-12-15 |
| 1326102617 | Andrea Joan Wagner | Physical Medicine & Rehabilitation | 236 Highland Ave, Somerville, MA 02143-1495 | 2006-12-20 |
| Street Address |
180 ATWATER ST N |
| City | MONMOUTH |
| State | OR |
| Zip Code | 97361-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447332994 | Northwest Human Services, Inc. | Clinic/Center | 180 Atwater St N, Monmouth, OR 97361-1801 | 2006-10-20 |
| 1396354692 | Sylvia E Cervantes Garcia | Community Health Worker | 180 Atwater St N, Monmouth, OR 97361-1801 | 2020-07-23 |
| 1821396268 | Laboratory Corporation of America | Clinical Medical Laboratory | 180 Atwater St N, Monmouth, OR 97361-1801 | 2011-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512320 | Wesley Stoecker | Physical Therapist | 512 Main St., Suite 300, Monmouth, OR 97361 | 2020-06-10 |
| 1699050492 | Joshua Fitzgerald Sandeman | Nurse Practitioner | 180 Atwater St N Ofc, Monmouth, OR 97361 | 2011-10-13 |
| 1649487927 | Kimberli Ann Wicks Freilinger | Counselor | 1458 Meadowglen Ct., Monmouth, OR 97361 | 2007-05-17 |
| 1811091044 | Thomas T Mesdag | Podiatrist | 343 E Main St, Monmouth, OR 97361 | 2006-09-08 |
| 1083718357 | Michelle L Hasbrook | Dentist | 120 N. Atwater St., Monmouth, OR 97361 | 2006-09-08 |
| 1417239997 | Life Dream Now | Community/Behavioral Health | 235 Gentle Ave E, Monmouth, OR 97361-1108 | 2011-09-12 |
| 1063805513 | Jordan Ambrose | Chiropractor | 953 Caroline Way E, Monmouth, OR 97361-1202 | 2015-03-09 |
| 1407027584 | Lisa Rochelle Roe | Massage Therapist | 110 Monmouth Ave N Lowr Level, Monmouth, OR 97361-1327 | 2008-03-18 |
| 1265458905 | Christopher Mccarthy Silva | Nurse Practitioner | 345 Monmouth Ave N, Monmouth, OR 97361-1329 | 2006-07-14 |
| 1003440827 | Bo Johnson | Specialist/Technologist | 345 Monmouth Ave N, Monmouth, OR 97361-1329 | 2020-03-02 |
| Find all providers in zip 97361 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699050492 | Joshua Fitzgerald Sandeman | Nurse Practitioner | 180 Atwater St N Ofc, Monmouth, OR 97361 | 2011-10-13 |
| 1144461757 | Laurel Lynn Welty | Nurse Practitioner | 722 N 10th St, Monmouth, IL 61462-1430 | 2009-03-11 |
| 1265458905 | Christopher Mccarthy Silva | Nurse Practitioner | 345 Monmouth Ave N, Monmouth, OR 97361-1329 | 2006-07-14 |
| 1376103887 | Benjamin Gordon Coulam | Nurse Practitioner | 512 Main St E, Monmouth, OR 97361-2369 | 2019-06-17 |
| 1073984225 | Julie Gerow | Nurse Practitioner | 11 Academy Rd, Monmouth, ME 04259-7035 | 2015-10-14 |
| 1568799831 | Jodie B Kaufman | Nurse Practitioner | 11 Academy Rd, Monmouth, ME 04259-7035 | 2009-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484631 | Dana Marie Hampton | Nurse Practitioner | 2474 Sw Perkins Ave, Pendleton, OR 97801-4302 | 2020-10-13 |
| 1730796525 | Eden Fair | Nurse Practitioner | 841 E Cascade Ave, Sisters, OR 97759-5014 | 2020-09-25 |
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1548870306 | Virtual Recovery | Nurse Practitioner | 1038 Heathrow Dr, Eugene, OR 97402-1585 | 2020-08-06 |
| 1174148969 | Martina D Ford | Nurse Practitioner | 9370 Sw Greenburg Rd Ste 200, Tigard, OR 97223-5421 | 2020-06-08 |
| 1134740152 | South Coast Healthcare LLC | Nurse Practitioner | 29641 Ellensburg Ave, Gold Beach, OR 97444-8701 | 2020-04-30 |
| 1124657887 | Shelly Prather | Nurse Practitioner | 350 Wheeler St, Lebanon, OR 97355-4349 | 2020-04-05 |
| 1811521586 | Valorine Tsopmoh Tsopmoh | Nurse Practitioner | 924 Se Sacha Pl, Hillsboro, OR 97123-4685 | 2020-03-02 |
| 1174163356 | Erika Nichole Adams | Nurse Practitioner | 180 Ford Rd., John Day, OR 97845 | 2020-01-15 |
| 1568002749 | Ya-chi Claire Chang | Nurse Practitioner | 1229 1890 Waite St #1, North Bend, OR 97459 | 2020-01-15 |
| Find all providers with the same taxonomy | ||||
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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.