MISS KIMBERLY EILEEN WAGNER (NPI# 1295938074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295938074 |
| Entity Type | Individual |
| Full Name | MISS KIMBERLY EILEEN WAGNER |
| Credential | M.A. |
| Practice Address |
2870 4th Ave Suite 101 San Diego CA 92103-6298 |
| Practice Telephone | 8589973457 |
| Practice Fax Number | 6192970470 |
| Mailing Telephone | 8589973457 |
| Mailing Fax Number | 6192970470 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2009-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053755959 | Kimberly Wagner | Counselor | 533 Judy Ann Dr, Hahira, GA 31632-1303 | 2013-04-22 |
| 1164691465 | Kimberly H Wagner | Nurse Practitioner | 125 W Interstate 30, Royse City, TX 75189-7512 | 2008-02-21 |
| 1245352855 | Kimberly Wagner | Psychologist | 201 N Rose Ave, Room 32, Bloomington, IN 47405-1005 | 2007-04-04 |
| 1497379788 | Kimberly Ann Wagner | Registered Nurse | 6480 Technology Ave, Kalamazoo, MI 49009-8119 | 2020-06-02 |
| 1124542980 | Kimberly Marie Wagner | Specialist/Technologist | 59 Executive Park S Ste 1100, Atlanta, GA 30329-2208 | 2017-08-02 |
| 1861885477 | Kimberly Wagner | Specialist | 23936 Michigan Ave, Dearborn, MI 48124-1833 | 2015-03-07 |
| 1093154122 | Kimberly Wagner | Family Medicine | 2970 Pierce Rd, Suite 2, Saginaw, MI 48604-8810 | 2013-06-21 |
| 1588008320 | Kimberly Wagner | Counselor | 3830 S Cushman St, Fairbanks, AK 99701-7530 | 2013-04-23 |
| 1104176593 | Kimberly N Wagner | Physical Therapist | 750 Coronado Center Dr, Suite 120, Henderson, NV 89052-5034 | 2012-09-13 |
| 1114237575 | Kimberly Ann Wagner | Licensed Practical Nurse | 1 Perryman St, Lebanon, IL 62254-1356 | 2010-10-19 |
| Street Address |
2870 4TH AVE SUITE 101 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-6298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790719573 | Lydia F. Lewis | Social Worker | 2870 4th Ave, Suite 200, San Diego, CA 92103-6298 | 2006-07-10 |
| 1386086478 | San Diego Psychology Center | Clinic/Center | 2870 4th Ave, 101, San Diego, CA 92103-6298 | 2013-07-18 |
| 1609145358 | Laura Georgi Distefano | Social Worker | 2870 4th Ave, Suite 200, San Diego, CA 92103-6298 | 2011-12-27 |
| 1013170265 | Cher S. Rafiee | Counselor | 2870 4th Ave, Ste 101, San Diego, CA 92103-6298 | 2008-07-08 |
| 1770621831 | Therese Harrold Adair | Social Worker | 2870 4th Ave, Suite 200, San Diego, CA 92103-6298 | 2007-02-01 |
| 1477604890 | Ava Torre-bueno | Social Worker | 2870 4th Ave, San Diego, CA 92103-6298 | 2007-01-13 |
| 1831114263 | Joanne I Mason | Marriage & Family Therapist | 2870 4th Ave, Suite 200, San Diego, CA 92103-6298 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346359 | Christina L Thomas | Counselor | 4611 Alamo Dr, San Diego, CA 92115-5907 | 2020-11-05 |
| 1639779101 | Paula Perez | Counselor | 5882 Adobe Falls Rd, San Diego, CA 92120-4600 | 2020-10-26 |
| 1558974378 | Monica Dixon | Counselor | 4930 Naples St Fl 1, San Diego, CA 92110-3820 | 2020-08-31 |
| 1952911612 | Shannon Kathleen Nolte | Counselor | 13111 Kellam Ct Apt 9, San Diego, CA 92130-1251 | 2020-08-06 |
| 1033728498 | Hala Kadhem | Counselor | 1664 Broadway, El Cajon, San Diego, CA 92021 | 2020-07-30 |
| 1487279493 | Christi Susan Leyva | Counselor | 10417 Crosscreek Ter, San Diego, CA 92131-1344 | 2020-06-15 |
| 1285256099 | Jehna Barnes | Counselor | 3636 Camino Del Rio N, San Diego, CA 92108-1703 | 2020-05-14 |
| 1457973455 | Cassandra Detgen | Counselor | 5252 Orange Ave Unit 125, San Diego, CA 92115-6029 | 2020-05-12 |
| 1972131589 | Douglas Baker Marriage and Family Therapy, Inc. | Counselor | 2911 Adams Ave # 5, San Diego, CA 92116-1509 | 2020-03-30 |
| 1255966859 | Job Brunat | Counselor | 4169 38th St Apt 10, San Diego, CA 92105-1367 | 2020-03-04 |
| Find all providers in SAN DIEGO | ||||
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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.